Patricia Antenucci, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200840738RN Issued in OR

Practice address

2051 Kaen Rd
367
Oregon City, OR 97045-4035

Phone

(503) 650-3110

NPI assigned

Sep 19, 2016

Last updated

Sep 19, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1619425758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37400 BELL ST",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970557868",
            "telephone_number": "503-668-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 KAEN RD",
            "address_2": "367",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454035",
            "telephone_number": "503-650-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTENUCCI",
        "first_name": "PATRICIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200840738RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul David Anderson, M.D.
• Sara Renee Anderson, LCSW
• Debra S Andrews, RN
• Nicole Anne Angerhofer, COTA
• Kelly Ansley, RDH
• John Joseph Antolik, MD
• Brian Alec Applebaum, M.D.
• Jaedin Rose Archer
• Arin Wallington Counseling LLC (Willamette Counseling Center)
• Kevin Arizo

• Registered Nurse in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.