Active NPI
Angelina Starr Sloan, CRM
- Peer Specialist
- Oregon City, OR
National Provider Identifier
1811528193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 112 Beavercreek Rd
Oregon City, OR 97045-4302 - Phone
- (503) 722-6277
- Fax
- (503) 722-6270
- NPI assigned
- Jan 27, 2020
- 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 | Primary |
Addresses
Primary practice location
112 Beavercreek Rd
Oregon City, OR 97045-4302
Mailing address
2901 E Burnside St
Portland, OR 97214-1831
Phone (503) 238-5203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THW000004066 | Medicaid | OR |
Other names 1
- Angelina Starr Sloan
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Center Clackamas | Past | Accepting new patients | |
| Project Quest | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
- NPI 1144250168
-
- Addiction (Substance Use Disorder) Counselor
- Oregon City, OR
- NPI 1083120471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1811528193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141831",
"telephone_number": "503-238-5203",
"fax_number": "503-238-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 BEAVERCREEK RD",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454302",
"telephone_number": "503-722-6277",
"fax_number": "503-722-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "ANGELINA",
"middle_name": "STARR",
"credential": "CRM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "THW000004066",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELINA",
"last_name": "SLOAN",
"middle_name": "STARR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.