Anna Alexandra Jadanova, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

913 NW Garden Valley Blvd
Roseburg, OR 97471-6523

Phone

(541) 440-1000

NPI assigned

Oct 4, 2019

Last updated

Nov 27, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: anna.jadanova@va.gov

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1598306060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 E CENTRAL AVE",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799704",
            "telephone_number": "240-994-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 NW GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716523",
            "telephone_number": "541-440-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADANOVA",
        "first_name": "ANNA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anna.Jadanova@va.gov",
            "affiliation": "Y",
            "affiliationName": "Veteran's Affairs Medical Center",
            "address_1": "913 NW Garden Valley Blvd",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974716523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eunice Jackson, CHW
• Jon R Jackson
• Meg Jackson
• Zhana A Jacob
• Christina Lee Jacobs, MA, CCC-SLP
• Okba Jahjah
• James D Scott MD PC
• James M Yun MD PC (ENT Associates of Roseburg LLC)
• Matthew Lyndon James, RPH
• Eliza Raine Janauskas

• Psychologist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.