Individual provider Active NPI

Terry Edward Jess, RN

  • Community Health Registered Nurse
  • Portland, OR
National Provider Identifier
1770820532
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
098007230 RN Issued in OR
Practice address
8512 SE 13TH Ave
Portland, OR 97202-7106
Phone
(503) 235-9032
NPI assigned
Jan 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 098007230 RN OR Primary

Addresses

Primary practice location

8512 SE 13TH Ave
Portland, OR 97202-7106

Mailing address

8512 SE 13TH Ave
Portland, OR 97202-7106
Phone (503) 235-9032

Other names 1

  • Mr. Terry Edward Jess Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
098007230 RNORMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1770820532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027106",
            "telephone_number": "503-235-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027106",
            "telephone_number": "503-235-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESS",
        "first_name": "TERRY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-13",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "098007230 RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "JESS",
            "middle_name": "EDWARD",
            "prefix": "MR.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 13, 2013; 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.