Individual provider Active NPI

Anja Marika Brahmer, RN

  • Maternal Newborn Registered Nurse
  • Eugene, OR
National Provider Identifier
1629612056
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal Newborn Registered NurseTaxonomy code 163WM0102X
License
201243289RN Issued in OR
Practice address
2945 Oak St
Eugene, OR 97405-3713
Phone
(503) 400-9994
NPI assigned
Oct 29, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 201243289RN OR Primary

Addresses

Primary practice location

2945 Oak St
Eugene, OR 97405-3713

Mailing address

2945 Oak St
Eugene, OR 97405-3713

Other identifiers 1

IdentifierTypeStateIssuer
201243289RNOtherORRN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address doulaanja@daisychainlane.org

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

LicenseStateTypeSpecialty
201243289RNORMDMaternal Newborn Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1629612056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053713",
            "telephone_number": "503-400-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHMER",
        "first_name": "ANJA",
        "middle_name": "MARIKA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "OR",
            "license": "201243289RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "201243289RN",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doulaanja@daisychainlane.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2945 Oak St",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974053713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.