Active NPI
Virtual Recovery, LLC
- Family Nurse Practitioner
- Eugene, OR
National Provider Identifier
1548870306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VIRTUAL RECOVERY, LLC
- Practice address
- 1038 Heathrow Dr
Eugene, OR 97402-1585 - Phone
- (773) 841-8828
- NPI assigned
- Aug 6, 2020
- Last updated
- Dec 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mee Wai Lam
- Title
- Owner
- Phone
- (458) 215-1203
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1038 Heathrow Dr
Eugene, OR 97402-1585
Mailing address
1038 Heathrow Dr
Eugene, OR 97402-1585
Phone (458) 215-1203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Eugene, OR
- NPI 1275960916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670976000000",
"number": "1548870306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 HEATHROW DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974021585",
"telephone_number": "458-215-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 HEATHROW DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974021585",
"telephone_number": "773-841-8828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRTUAL RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-06",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A",
"authorized_official_last_name": "LAM",
"authorized_official_first_name": "MEE WAI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "458-215-1203"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.