Individual provider Active NPI

Monique Nichol Norwood, RN

  • Registered Nurse
  • Portland, OR
National Provider Identifier
1730914110
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
61152900 Issued in WA
Practice address
5257 NE Martin Luther King Jr Blvd Ste 202F
Portland, OR 97211-3283
Phone
(971) 570-7730
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 0940000615RN OR
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 61152900 WA Primary

Addresses

Primary practice location

5257 NE Martin Luther King Jr Blvd Ste 202F
Portland, OR 97211-3283

Mailing address

8818 N Drummond Ave
Portland, OR 97217-7126
Phone (971) 570-7730

Other names 1

  • Monique Nichol Norwood Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8818 N Drummond Ave
Portland, OR 97217-7126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0940000615RNORMDRegistered Nurse
61152900WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1730914110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8818 N DRUMMOND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177126",
            "telephone_number": "971-570-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 NE MARTIN LUTHER KING JR BLVD STE 202F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113283",
            "telephone_number": "971-570-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORWOOD",
        "first_name": "MONIQUE",
        "middle_name": "NICHOL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "0940000615RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "61152900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "NORWOOD",
            "middle_name": "NICHOL",
            "credential": "MPA, RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.