Individual provider Active NPI

Erika Rea, PMHNP-DNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Beaverton, OR
National Provider Identifier
1609618404
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
NA Issued in WA
Practice address
6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone
(503) 430-1777
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X NA WA Primary

Addresses

Primary practice location

6800 SW 105TH Ave
Beaverton, OR 97008-5468

Mailing address

12390 SW Stillwell LN
Beaverton, OR 97008-6993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1901 N Roselle Rd
Schaumburg, IL 60195-3191

1901 N Roselle Rd
820Ab
Schaumburg, IL 60195-3176

2110 Mission St SE
Suite 305
Salem, OR 97302-0038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CRM Physicians, LLC CurrentSince Jun 16, 2024 Accepting new patients
Precision Mental Performance LLC Past Accepting new patients
Precision Mental Performance LLC Past Accepting new patients
Precision Mental Performance LLC Past Accepting new patients

Locations

6800 SW 105th Ave
Beaverton, OR 97008

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1609618404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12390 SW STILLWELL LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 SW 105TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085468",
            "telephone_number": "503-430-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "ERIKA",
        "credential": "PMHNP-DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WA",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.