Individual provider Active NPI

Nina Van Es, NP

  • Nurse Practitioner
  • The Dalles, OR
National Provider Identifier
1750359790
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
200150061NP Issued in OR
Practice address
1015 Webber St Ste 100
The Dalles, OR 97058
Phone
(541) 296-4804
Fax
(541) 296-3741
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 200150061NP OR Primary

Addresses

Primary practice location

1015 Webber St Ste 100
The Dalles, OR 97058

Mailing address

1015 Webber St
Ste 100
The Dalles, OR 97058-3527
Phone (541) 296-4804

Other practice location 1

1700 E 19th St
The Dalles, OR 97058-3317
Phone (541) 296-7760

Other identifiers 2

IdentifierTypeStateIssuer
276457MedicaidOR
9634841MedicaidWA

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center Current Accepting new patients
Pacific Oncology PC Past Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc PastSince May 6, 2018 Accepting new patients
Sage Adult and Geriatric Primary Care LLC PastSince Oct 7, 2017 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1810 E 19th St
Ste 225
The Dalles, OR 97058
Phone (541) 296-6101

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1750359790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WEBBER ST",
            "address_2": "STE 100",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583527",
            "telephone_number": "541-296-4804",
            "fax_number": "541-296-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 WEBBER ST STE 100",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "97058",
            "telephone_number": "541-296-4804",
            "fax_number": "541-296-3741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E 19th St",
            "address_purpose": "LOCATION",
            "city": "The Dalles",
            "state": "OR",
            "postal_code": "970583317",
            "country_code": "US",
            "telephone_number": "541-296-7760",
            "fax_number": "541-296-7619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN ES",
        "first_name": "NINA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200150061NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276457",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9634841",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.