Elaine S Brisbine, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

200930418LPN Issued in OR

Practice address

58051 Columbia River Hwy
Warren, OR 97053-9417

Phone

(503) 396-2927

NPI assigned

Nov 19, 2009

Last updated

Nov 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elaine S Davis, Tipton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1801124441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58051 COLUMBIA RIVER HWY",
            "city": "WARREN",
            "state": "OR",
            "postal_code": "970539417",
            "telephone_number": "503-396-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58051 COLUMBIA RIVER HWY",
            "city": "WARREN",
            "state": "OR",
            "postal_code": "970539417",
            "telephone_number": "503-396-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISBINE",
        "first_name": "ELAINE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "200930418LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "DAVIS, TIPTON",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Jean Adams
• Tysen June Christensen, R.D.N
• Amanda Kaye Hafeman, RN
• Christa Melissa Hernandez
• Lillie Mae Jordan, RN
• Sande School of Horsemanship

• Licensed Practical Nurse in Warren, OR
• Providers in Warren, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.