Active NPI
Nancy Gordon-Zwerling, FNP
- Family Nurse Practitioner
- Portland, OR
National Provider Identifier
1568470037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Practice address
- 4411 SW Vermont St
Portland, OR 97219-1020 - Phone
- (503) 494-9992
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 079042730N1 | OR | |
| Family Nurse Practitioner | 363LF0000X | OR | Primary |
Addresses
Primary practice location
4411 SW Vermont St
Portland, OR 97219-1020
Mailing address
2931 NW Fairfax Ter
Portland, OR 97210-2708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130054 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079042730RN | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568470037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2931 NW FAIRFAX TER",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 SW VERMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191020",
"telephone_number": "503-494-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON-ZWERLING",
"first_name": "NANCY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "079042730N1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130054",
"state": "OR"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.