Active NPI
Pollee Hruby Brookings, PNP
- Pediatric Nurse Practitioner
- Portland, OR
National Provider Identifier
1811249592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 201401567NP-PP
- Practice address
- 3181 SW Sam Jackson Park Rd # CDW7
Portland, OR 97239-3098 - Phone
- (503) 494-4122
- NPI assigned
- Oct 5, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 201401567NP-PP | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd # CDW7
Portland, OR 97239-3098
Mailing address
3181 SW Sam Jackson Park Rd # CDW7
Portland, OR 97239-3098
Phone (503) 494-4122
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Past | Accepting new patients |
Interoperability endpoints
- phruby86527@direct.ohsu.edu
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.
-
- Pediatrics Physician
- Medford, OR
- NPI 1225282122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1811249592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD # CDW7",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393098",
"telephone_number": "503-494-4122",
"fax_number": "207-346-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD # CDW7",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393098",
"telephone_number": "503-494-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKINGS",
"first_name": "POLLEE",
"middle_name": "HRUBY",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OR",
"license": "201401567NP-PP",
"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 Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.