Deanna Lea Way, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

090007472RN Issued in OR

Practice address

22062 S Ferguson Rd
Beavercreek, OR 97004-7625

Phone

(503) 632-5692

NPI assigned

May 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Deanna Lea Gillan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463788800000",
    "number": "1538516331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "BEAVERCREEK",
            "state": "OR",
            "postal_code": "970040502",
            "telephone_number": "503-632-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22062 S FERGUSON RD",
            "city": "BEAVERCREEK",
            "state": "OR",
            "postal_code": "970047625",
            "telephone_number": "503-632-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "DEANNA",
        "middle_name": "LEA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-21",
        "last_updated": "2016-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "090007472RN",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00162526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "GILLAN",
            "middle_name": "LEA",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joelle Osterhaus, LCSW
• Jessie Lynn Roberts, DPT
• Laura Ann Shattuck, PNP
• Graham Douglas Shea, D.D.S.
• The Good Practice LLC
• Karen Zondervan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; 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.