NPIMap

Organization Active NPI

My School's Health Centers

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1578760740
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201050226NP Issued in OR
Legal business name
MY SCHOOL'S HEALTH CENTERS
Practice address
200 Silver LN
Eugene, OR 97404-2216
Phone
(541) 790-4445
Fax
(541) 790-4446
NPI assigned
Jun 29, 2007
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Ms. Maxine Proskurowski, MSRN
Title
Program Manager
Phone
(541) 790-7215

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 5043 OR
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 201050226NP OR Primary

Addresses

Primary practice location

200 Silver LN
Eugene, OR 97404-2216

Mailing address

120 W Hilliard Avenue
Eugene, OR 97404-3012
Phone (541) 790-7216

Other identifiers 1

IdentifierTypeStateIssuer
2276647OtherOROMAP #

National Provider Directory

National Provider Directory
Tax ID family
Eugene School District 4J3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 W Hilliard Ln
Eugene, OR 97404

200 Silver Ln
Eugene, OR 97404
Phone (541) 790-4445

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1578760740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W HILLIARD AVENUE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043012",
            "telephone_number": "541-790-7216",
            "fax_number": "541-790-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SILVER LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042216",
            "telephone_number": "541-790-4445",
            "fax_number": "541-790-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SCHOOL'S HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "PROSKUROWSKI",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "541-790-7215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSRN"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "5043",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201050226NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP #",
            "identifier": "2276647",
            "state": "OR"
        }
    ],
    "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 Jan 21, 2015; 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.