Lynn Marie Lieuallen, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

200350090NPFNPPP Issued in OR

Practice address

2461 SW Perkins Ave
Pendleton, OR 97801-4301

Phone

(541) 276-0250

Fax

(541) 276-0253

NPI assigned

Nov 4, 2005

Last updated

May 3, 2013By 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

Enrolled in OR

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthony Hospital Hospital, Pendleton, OR, CCN 381319

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1209

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.

• Commonspirit Oregon

  dba CHI Mercy Medical Center

  • Surgery Physician
  • Roseburg, OR
  • NPI 1215106133
  Medicare reassignment
• Commonspirit Oregon

  dba St Anthony Hospital

  • Rural Health Clinic/Center
  • Pendleton, OR
  • NPI 1780880518
  NPD (past)
• Pediatric Specialists of Pendleton, LLC

  • Clinic/Center
  • Pendleton, OR
  • NPI 1689739310
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Commonspirit Oregon

  dba St Anthony Hospital

  • Critical Access Hospital
  • Pendleton, OR
  • NPI 1649276734
  Care Compare affiliation

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1629069893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 SW PERKINS AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978014301",
            "telephone_number": "541-276-0250",
            "fax_number": "541-276-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 SW PERKINS AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978014301",
            "telephone_number": "541-276-0250",
            "fax_number": "541-276-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEUALLEN",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200350090NPFNPPP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebal L Lemon
• Leopoldo Leon Jr.
• Les Is More Mental Health, LLC
• Brian Letts, MD
• Camryn Rae Licurse, LCSW
• Life's Intention Back to Basics Inc.
• Life's Intention LLC (Life's Intention INC)
• Lifeways, Inc
• Lynne Lindberg, LCSW
• Kaelyn Rose Lindsay

• Nurse Practitioner in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.