Active NPI
Carolina Delgado, PSS
- Peer Specialist
- Hermiston, OR
National Provider Identifier
1801548987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- THW000105969
- Practice address
- 165 SW 3Rd St
Hermiston, OR 97838-1728 - Phone
- (541) 303-1191
- Fax
- (541) 429-8822
- NPI assigned
- Jan 20, 2022
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | THW000105969 | OR | Primary |
Addresses
Primary practice location
165 SW 3Rd St
Hermiston, OR 97838-1728
Mailing address
PO Box 882
Pendleton, OR 97801-0882
Phone (541) 303-1191
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 |
|---|---|---|---|
| THW000105969 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Washington Health Network | Peer Specialist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Pendleton, OR
- NPI 1356971493
Peer Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1801548987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 882",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978010882",
"telephone_number": "541-303-1191",
"fax_number": "541-429-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SW 3RD ST",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978381728",
"telephone_number": "541-303-1191",
"fax_number": "541-429-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "CAROLINA",
"credential": "PSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "THW000105969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.