Active NPI
Catherine Lott Samson, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1710075221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 200650006NP
- Practice address
- 2455 NW Marshall St
Suite 14
Portland, OR 97210-2949 - Phone
- (503) 679-6470
- Fax
- (503) 296-2996
- NPI assigned
- Oct 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 200650006NP | OR | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30007493 | WA |
Addresses
Primary practice location
2455 NW Marshall St
Suite 14
Portland, OR 97210-2949
Mailing address
2455 NW Marshall St
Suite 14
Portland, OR 97210-2949
Phone (503) 679-6470
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200650006NP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP30007493 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catherine Samson, Pmhnp, LLC | Psychiatric/Mental Health | 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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1538454178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1710075221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 NW MARSHALL ST",
"address_2": "SUITE 14",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102949",
"telephone_number": "503-679-6470",
"fax_number": "503-296-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 NW MARSHALL ST",
"address_2": "SUITE 14",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102949",
"telephone_number": "503-679-6470",
"fax_number": "503-296-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "CATHERINE",
"middle_name": "LOTT",
"name_prefix": "Ms.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "200650006NP",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP30007493",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.