Anna Cecelia Box, RN/QMHP

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

202001487RN Issued in OR

Practice address

17640 NE Halsey St
Portland, OR 97230-6733

Phone

(503) 489-5045

Fax

(503) 489-5638

NPI assigned

Apr 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbiacare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1982140588
  NPD (past)

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1629698576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-858-8170",
            "fax_number": "541-858-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17640 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306733",
            "telephone_number": "503-489-5045",
            "fax_number": "503-489-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "ANNA",
        "middle_name": "CECELIA",
        "credential": "RN/QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202001487RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Sky Bowman, LMT
• Tasha Bowman, BS CADC-R QMHA-R CRM
• Bowmans Hillsdale Pharmacy
• Suzanne Bowser, MPT
• Devin Allen Bowyer, DDS
• David Box
• Thomas W. Box, MD
• Brad Boyce
• Lillian Boyce
• Mary Jennifer Boyce, M.A., LPC, LAT

• Psychiatric/Mental Health Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.