Active NPI
Kimberly Demeter, P.S.S.
- Peer Specialist
- Eugene, OR
National Provider Identifier
1699107359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2145 Centennial Plaza
Eugene, OR 97401 - Phone
- (541) 485-6340
- Fax
- (541) 984-3124
- NPI assigned
- Aug 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
2145 Centennial Plaza
Eugene, OR 97401
Mailing address
2145 Centennial Plaza
Eugene, OR 97401
Phone (541) 485-6340
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1699107359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 CENTENNIAL PLAZA",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-485-6340",
"fax_number": "541-984-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 CENTENNIAL PLAZA",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-485-6340",
"fax_number": "541-984-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMETER",
"first_name": "KIMBERLY",
"credential": "P.S.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.