Julie R Wiley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

085068840RN Issued in OR

Practice address

215 N Rose St
Phoenix, OR 97535-5734

Phone

(541) 535-1065

Fax

(541) 512-2082

NPI assigned

Aug 28, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• La Clinica del Valle Family Health Care Center Inc.

  dba La Clinica School-Based Health Center at Phoenix Elementary School

  • Federally Qualified Health Center (FQHC)
  • Phoenix, OR
  • NPI 1821333402
  NPD (past)
• La Clinica del Valle Family Health Care Center Inc.

  dba Phoenix Health Center- La Clinica

  • Federally Qualified Health Center (FQHC)
  • Medford, OR
  • NPI 1851327571
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1528616067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CHEVY WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044127",
            "telephone_number": "541-690-3555",
            "fax_number": "541-842-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N ROSE ST",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "975355734",
            "telephone_number": "541-535-1065",
            "fax_number": "541-512-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JULIE",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "085068840RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah L Vanwinkle, QMHA
• Andrea Nicole Walker, DOULA
• Emily Dean Warren, PT
• Eric Seth Webb, MD
• Jamie Robin White, DMD
• Christian Zachary Wilson
• Lisa Woehrl, CRM
• Lydia Ruthann Woody
• Wright Dermatology and Mohs, LLC (Wright Dermatology, LLC)
• Taylor May York, MS

• Registered Nurse in Phoenix, OR
• Providers in Phoenix, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.