Individual provider Active NPI

Leighanne B McGowan, RN

  • Community Health Registered Nurse
  • Junction City, OR
National Provider Identifier
1609958560
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
080045345RN Issued in OR
Practice address
91648 River Rd
Junction City, OR 97448-9403
Phone
(503) 319-2426
Fax
(541) 461-2498
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 080045345RN OR Primary

Addresses

Primary practice location

91648 River Rd
Junction City, OR 97448-9403

Mailing address

91648 River Rd
Junction City, OR 97448-9403
Phone (503) 319-2426

Other identifiers 1

IdentifierTypeStateIssuer
052845MedicaidOR

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
080045345RNORMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1609958560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91648 RIVER RD",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974489403",
            "telephone_number": "503-319-2426",
            "fax_number": "541-461-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91648 RIVER RD",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974489403",
            "telephone_number": "503-319-2426",
            "fax_number": "541-461-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "LEIGHANNE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "080045345RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052845",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.