James Wyma, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

202108215RN Issued in OR

Practice address

3150 SE Belmont St
Portland, OR 97214-4029

Phone

(503) 389-5545

NPI assigned

Feb 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Locations

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.

• Advanced Wellness Center

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1275921660
  NPD
• Advanced Wellness Center LLC

  • Chiropractor
  • Portland, OR
  • NPI 1245632447
  NPD

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1689320210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144029",
            "telephone_number": "503-389-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144029",
            "telephone_number": "503-389-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMA",
        "first_name": "JAMES",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202108215RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "endpointDescription": "out patient",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3150 SE Belmont St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972144029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dawn L Wylde, RN/QMHP-C
• Cynthia J Wyler, LMT
• Charles Wylie
• Linda S. Wylie, M.D.
• Regan B Wylie, MD
• Michael Bruce Wyman, M.D.
• Michelle So-Patzer Wyman
• Todd Wymer, LAC
• Angela Wynia, PA-C
• Bethany Kay Wynn, EFDA

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.