Active NPI
Allison McDaniel, QMHA-R
- Case Manager/Care Coordinator
- Clackamas, OR
National Provider Identifier
1730700774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 14839 SE 82ND Dr
Clackamas, OR 97015-7624 - Phone
- (503) 372-5147
- NPI assigned
- Apr 30, 2020
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
14839 SE 82ND Dr
Clackamas, OR 97015-7624
Mailing address
113 N Elm St
Canby, OR 97013-3519
Phone (503) 372-5147
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-95343 | Other | BACB | |
| 10202144 | Other | OR | OREGON RBAI |
| 23-QMHA-R-4219 | Other | OR | QMHA-R |
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": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1730700774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 N ELM ST",
"city": "CANBY",
"state": "OR",
"postal_code": "970133519",
"telephone_number": "503-372-5147",
"fax_number": "503-266-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14839 SE 82ND DR",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970157624",
"telephone_number": "503-372-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "ALLISON",
"credential": "QMHA-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-30",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-19-95343",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON RBAI",
"identifier": "10202144",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QMHA-R",
"identifier": "23-QMHA-R-4219",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.