Active NPI
Creta Anne Frandsen, RN
- Community Health Registered Nurse
- Newport, OR
National Provider Identifier
1700460177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 202000142RN
- Practice address
- 1010 SW Coast Hwy
Newport, OR 97365-5288 - Phone
- (541) 265-0445
- NPI assigned
- May 11, 2021
- Last updated
- May 10, 2023
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 202000142RN | OR | Primary |
Addresses
Primary practice location
1010 SW Coast Hwy
Newport, OR 97365-5288
Mailing address
1701 NW Parker Ave
Waldport, OR 97394-9339
Phone (208) 914-8266
Other practice location 1
4422 NE Devils Lake Blvd Ste 2
Lincoln City, OR 97367-5000
Phone (541) 265-4947
Other names 1
- Candi Dudley
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
| License | State | Type | Specialty |
|---|---|---|---|
| 202000142RN | OR | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Lincoln | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Coastal Healthcare
- Federally Qualified Health Center (FQHC)
- Newport, OR
- NPI 1992755664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1700460177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 NW PARKER AVE",
"city": "WALDPORT",
"state": "OR",
"postal_code": "973949339",
"telephone_number": "208-914-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SW COAST HWY",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973655288",
"telephone_number": "541-265-0445"
}
],
"practiceLocations": [
{
"address_1": "4422 NE Devils Lake Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Lincoln City",
"state": "OR",
"postal_code": "973675000",
"country_code": "US",
"telephone_number": "541-265-4947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRANDSEN",
"first_name": "CRETA",
"middle_name": "ANNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OR",
"license": "202000142RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDI",
"last_name": "DUDLEY",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.