Active NPI
Anneleise Roady
- Registered Nurse
- Eugene, OR
National Provider Identifier
1790932341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 200742117RN
- Practice address
- 4075 Aerial Way Apt 212
Eugene, OR 97402-8742 - Phone
- (541) 729-3633
- NPI assigned
- Aug 26, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200742117RN | OR | Primary |
Addresses
Primary practice location
4075 Aerial Way Apt 212
Eugene, OR 97402-8742
Mailing address
4075 Aerial Way Apt 212
Eugene, OR 97402-8742
Phone (541) 729-3633
Other names 1
- Leise Roady
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 |
|---|---|---|---|
| 200742117RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1790932341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 AERIAL WAY APT 212",
"city": "EUGENE",
"state": "OR",
"postal_code": "974028742",
"telephone_number": "541-729-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 AERIAL WAY APT 212",
"city": "EUGENE",
"state": "OR",
"postal_code": "974028742",
"telephone_number": "541-729-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROADY",
"first_name": "ANNELEISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "200742117RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEISE",
"last_name": "ROADY",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.