Essential Medical

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

201050185NP Issued in OR

Legal business name

ESSENTIAL MEDICAL

Practice address

131 E 11TH Ave
Eugene, OR 97401-3511

Phone

(541) 337-4000

NPI assigned

Jan 16, 2014

Last updated

Jan 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristi Wallace

Title

Nurse Practitioner

Phone

(541) 337-4000

Specialties & licenses 1

Addresses

Locations

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.

• Vicky Curry, PHD

  • Clinical Psychologist
  • Eugene, OR
  • NPI 1518055391
  NPD (past)
• Lori Kim Mace, D.C.

  • Chiropractor
  • Eugene, OR
  • NPI 1992023766
  NPD (past)
• Susan Marie Wendelborg, L.C.S.W.

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1073686853
  NPD (past)

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1619399235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013511",
            "telephone_number": "541-337-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "541-337-4000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "201050185NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maiyra C. Espinoza
• John Shane Esplin, MA
• Jordyn Michelle Espy
• Breanna Lee Esqueda
• Katelynn Esqueda
• Essential Physical Therapy, Inc.
• Essential Yoga and Massage LLC
• Rhonda L Estabrook, LCSW
• Esteemed Wellness
• Michael Estes, ATC

• Primary Care Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.