Emma Wendi Jegtvig

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

108118 Issued in OR

Practice address

2280 Marcola Rd
Springfield, OR 97477-2594

Phone

(541) 747-4300

Fax

(541) 747-0655

NPI assigned

Jan 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1720794589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85326 DILLEY LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 MARCOLA RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772594",
            "telephone_number": "541-747-4300",
            "fax_number": "541-747-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2644 Suzanne Way",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974087418",
            "country_code": "US",
            "telephone_number": "541-747-4300 x420",
            "fax_number": "541-747-0655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Centennial Blvd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974774379",
            "country_code": "US",
            "telephone_number": "541-747-4300 x420",
            "fax_number": "541-747-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEGTVIG",
        "first_name": "EMMA",
        "middle_name": "WENDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "108118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jane, RN, BSN
• Reed Casey Janke, PA-C
• Jason Paul Jarria, MD
• Michael D Jay, MD
• Douglas Paul Jeffrey, MD
• Caitlin Jenkins
• Joseph David Jennings
• Tiffeny Anne Jennings, RN
• Julian Jennison, LMT
• Amber Jensen

• Community Health Worker in Springfield, OR
• Providers in Springfield, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.