Active NPI
Jessica G. Anderson, RN.
- Registered Nurse
- Harrisburg, OR
National Provider Identifier
1619827060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201140585RN
- Practice address
- 865 Lasalle St
Harrisburg, OR 97446 - Phone
- (541) 995-6626
- Fax
- (541) 995-3453
- NPI assigned
- Feb 3, 2026
- Last updated
- Feb 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201140585RN | OR | Primary |
Addresses
Primary practice location
865 Lasalle St
Harrisburg, OR 97446
Mailing address
P.O Box 208
Harrisburg, OR 97446
Phone (541) 995-6626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201140585RN | Other | UT | RN |
Other names 1
- Jessica G. Smith
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201140585RN | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrisburg School District 7 | Past | Accepting new patients | |
| Linn Co School Dist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Harrisburg, OR
- NPI 1275324048
-
dba Harrisburg School Dist 7
- Local Education Agency (LEA)
- Harrisburg, OR
- NPI 1720178874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1619827060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 208",
"city": "HARRISBURG",
"state": "OR",
"postal_code": "97446",
"telephone_number": "541-995-6626",
"fax_number": "541-995-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 LASALLE ST",
"city": "HARRISBURG",
"state": "OR",
"postal_code": "97446",
"telephone_number": "541-995-6626",
"fax_number": "541-995-3453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JESSICA",
"middle_name": "G.",
"credential": "RN.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201140585RN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "201140585RN",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SMITH",
"middle_name": "G.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harrisburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.