Individual provider Active NPI

Shannon Elizabeth Rondeau, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Portland, OR
National Provider Identifier
1598669939
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
056554-21 Issued in NH
Practice address
111 SW Naito Pkwy Ste 200
Portland, OR 97204-3512
Phone
(503) 208-5061
Fax
(833) 260-2594
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 056554-21 NH
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 056554-21 NH Primary

Addresses

Primary practice location

111 SW Naito Pkwy Ste 200
Portland, OR 97204-3512

Mailing address

111 SW Naito Pkwy Ste 200
Portland, OR 97204-3512
Phone (503) 208-5061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1598669939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SW NAITO PKWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043512",
            "telephone_number": "503-208-5061",
            "fax_number": "833-260-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW NAITO PKWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043512",
            "telephone_number": "503-208-5061",
            "fax_number": "833-260-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDEAU",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "056554-21",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "056554-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.