Individual provider Active NPI

Eileen Melody Cleveland, ARNP

  • Family Nurse Practitioner
  • Tigard, OR
National Provider Identifier
1700049152
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201708443NP-PP Issued in OR
Practice address
16200 SW Pacific Hwy Ste H3013
Tigard, OR 97224-4053
Phone
(541) 240-3071
Fax
(541) 241-8031
NPI assigned
Jul 7, 2008
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201708443NP-PP OR Primary

Addresses

Primary practice location

16200 SW Pacific Hwy Ste H3013
Tigard, OR 97224-4053

Mailing address

16200 SW Pacific Hwy Ste H3013
Tigard, OR 97224-4053
Phone (541) 241-3071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090506000361 ID Practitioner - Nurse Practitioner 8921176652 Practice locations: Coeur D Alene, ID
I20171214001652 OR Practitioner - Nurse Practitioner 8921176652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1813 W Harvard Ave
Suite 448
Roseburg, OR 97471-8705
Phone (541) 241-3071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Childrens Center, Inc Current Accepting new patients
San Juan Healthcare PC Past Accepting new patients
Family Home Care Corporation Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1700049152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 SW PACIFIC HWY STE H3013",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244053",
            "telephone_number": "541-241-3071",
            "fax_number": "541-241-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 SW PACIFIC HWY STE H3013",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244053",
            "telephone_number": "541-240-3071",
            "fax_number": "541-241-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "EILEEN",
        "middle_name": "MELODY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201708443NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.