Active NPI
Dina Paula Filoteo-Nichols, NP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1770021099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 202210253NP-PP
- Practice address
- 13908 SE Stark St Ste a
Portland, OR 97233-2161 - Phone
- (503) 255-2344
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95021122 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202210253NP-PP | OR | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 202210253NP-PP | OR | |
| Adult Health Nurse Practitioner | 363LA2200X | 95021122 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN2296654 | MA |
Addresses
Primary practice location
13908 SE Stark St Ste a
Portland, OR 97233-2161
Mailing address
61 Lincoln St Ste 203
Framingham, MA 01702-8264
Phone (781) 666-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2023 through Feb 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2296654 | MA | MD | Adult Health Nurse Practitioner |
| 202210253NP-PP | OR | MD | Adult Health Nurse Practitioner |
| 95021122 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1770021099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 LINCOLN ST STE 203",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017028264",
"telephone_number": "781-666-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13908 SE STARK ST STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972332161",
"telephone_number": "503-255-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILOTEO-NICHOLS",
"first_name": "DINA",
"middle_name": "PAULA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95021122",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "202210253NP-PP",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "202210253NP-PP",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95021122",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN2296654",
"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 Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.