Emmeline Mimi Win, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

24053797 Issued in OR

Practice address

310 N Villa Rd Ste 103
Newberg, OR 97132-1886

Phone

(503) 215-4646

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CP Portland Or HH, LLC

  dba Providence at Home with Compassus Home Health, East Portland

  • Home Health Agency
  • Portland, OR
  • NPI 1912720590
  NPD (past)
• Providence Health & Services Oregon

  dba Providence Specialty Pharmacy Services-Infusion/SPP

  • Home Infusion Therapy Pharmacy
  • Portland, OR
  • NPI 1427132265
  NPD (past)

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1578334447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14278 SW LUKAR CT",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N VILLA RD STE 103",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321886",
            "telephone_number": "503-215-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIN",
        "first_name": "EMMELINE",
        "middle_name": "MIMI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OR",
            "license": "24053797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Bailey MD
• Alex Williams
• Jeffrey Mitchell Williams, D.C.
• Jennifer M Wilson, MD
• Patrcia Wilson, MA, LMFT
• Elisabeth Grace Wise, M.A., QMHP
• Tupelo Keilly Witte, MA
• Pamela Kay Wittenburg, LMT
• Deborah R Wolfson, M.D.
• Women's Healthcare Associates, LLC

• Home Health Registered Nurse in Newberg, OR
• Providers in Newberg, OR by specialty
• Home Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.