Active NPI
Sonia Acosta Lovewell, REGISTERED NURSE
- Hemodialysis Registered Nurse
- Portland, OR
National Provider Identifier
1780010785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hemodialysis Registered Nurse
- License
- 200140260RN
- Practice address
- 12045 SE Pardee St
Portland, OR 97266-3220 - Phone
- (503) 724-7695
- Fax
- (503) 926-9298
- NPI assigned
- Sep 23, 2013
- Last updated
- Sep 23, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hemodialysis Registered Nurse | 163WH0500X | 200140260RN | OR | Primary |
Addresses
Primary practice location
12045 SE Pardee St
Portland, OR 97266-3220
Mailing address
12045 SE Pardee St
Portland, OR 97266-3220
Phone (503) 724-7695
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200140260RN | OR | MD | Hemodialysis Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1780010785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12045 SE PARDEE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972663220",
"telephone_number": "503-724-7695",
"fax_number": "503-926-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12045 SE PARDEE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972663220",
"telephone_number": "503-724-7695",
"fax_number": "503-926-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVEWELL",
"first_name": "SONIA",
"middle_name": "ACOSTA",
"name_prefix": "Ms.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hemodialysis",
"state": "OR",
"license": "200140260RN",
"primary": true
}
],
"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 Sep 23, 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.