Active NPI
Lloyd Lawrence Jones
- Peer Specialist
- Portland, OR
National Provider Identifier
1538767264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 1876109
- Practice address
- 10564 SE Washington St
10564 SE Washington St
Portland, OR 97216 - Phone
- (503) 228-9229
- NPI assigned
- Oct 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1876109 | OR | Primary |
Addresses
Primary practice location
10564 SE Washington St
10564 SE Washington St
Portland, OR 97216
Mailing address
10564 SE Washington St
10564 SE Washington St
Portland, OR 97216
Phone (503) 228-9229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1876109 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Inc. | Current | Accepting new patients |
Locations
10564 SE Washington St
Portland, OR 97216
Phone (503) 228-9229
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Volunteers Of America Of Oregon Inc.
- Contractor
- Portland, OR
- NPI 1376611418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1538767264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10564 SE WASHINGTON ST",
"address_2": "10564 SE WASHINGTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97216",
"telephone_number": "503-228-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10564 SE WASHINGTON ST",
"address_2": "10564 SE WASHINGTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97216",
"telephone_number": "503-228-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LLOYD",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "1876109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.