Active NPI
Briana Rotter, FNP-C
- Registered Nurse
- Portland, OR
National Provider Identifier
1629487541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201141192RN
- Practice address
- 5100 SW Macadam Ave
Suite 200
Portland, OR 97239-6102 - Phone
- (971) 202-5500
- NPI assigned
- Aug 5, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201141192RN | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | 201408799NP-PP | OR |
Addresses
Primary practice location
5100 SW Macadam Ave
Suite 200
Portland, OR 97239-6102
Mailing address
5100 SW Macadam Ave
Suite 200
Portland, OR 97239-6102
Phone (971) 202-5500
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201141192RN | OR | MD | Registered Nurse |
| 201408799NP-PP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1629487541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 SW MACADAM AVE",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396102",
"telephone_number": "971-202-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 SW MACADAM AVE",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396102",
"telephone_number": "971-202-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTTER",
"first_name": "BRIANA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201141192RN",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201408799NP-PP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.