Active NPI
Jesus Manuel Legarda Ornelas, NP
- Nurse Practitioner
- Wilsonville, OR
National Provider Identifier
1558840488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201802378NP-PP
- Practice address
- 24499 SW Grahams Ferry Rd
Wilsonville, OR 97070-7523 - Phone
- (971) 352-5739
- NPI assigned
- Aug 10, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201802378NP-PP | OR | Primary |
Addresses
Primary practice location
24499 SW Grahams Ferry Rd
Wilsonville, OR 97070-7523
Mailing address
13237 SW Maddie LN
Tigard, OR 97224-2698
Phone (901) 626-6521
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201802378NP-PP | OR | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1558840488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13237 SW MADDIE LN",
"city": "TIGARD",
"state": "OR",
"postal_code": "972242698",
"telephone_number": "901-626-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24499 SW GRAHAMS FERRY RD",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970707523",
"telephone_number": "971-352-5739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGARDA ORNELAS",
"first_name": "JESUS",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201802378NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.