Individual provider Active NPI

Deborah Jean Reynolds, ANP ACNP

  • Adult Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1821162728
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
200150050NP Issued in OR
Practice address
1755 Coburg Rd Unit 401
Eugene, OR 97401-4984
Phone
(541) 255-3905
Fax
(541) 255-3959
NPI assigned
Nov 20, 2006
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 00032996NO OR
Adult Health Nurse Practitioner 363LA2200X 200150050NP OR Primary

Addresses

Primary practice location

1755 Coburg Rd Unit 401
Eugene, OR 97401-4984

Mailing address

1755 Coburg Rd Unit 401
Eugene, OR 97401-4984
Phone (541) 255-3905

Other names 1

  • Deborah Jean Beevor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070426000161 OR Practitioner - Nurse Practitioner 2668578386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1755 Coburg Rd
Unit 401
Eugene, OR 97401-4984
Phone (541) 255-3905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
00032996NOORMDAcute Care Nurse Practitioner
200150050NPORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wholistic Wellness of the West LLC CurrentSince Jan 12, 2023 Accepting new patients
Commonspirit Oregon CurrentSince Jun 8, 2020 Accepting new patients
Commonspirit Oregon CurrentSince Jun 8, 2020 Accepting new patients
Commonspirit Oregon Current Accepting new patients
Urgent Care NW Gresham PC PastSince Mar 28, 2013 Accepting new patients
Redmond Immediate Health Care LLC Past Accepting new patients
Marshall Group LLC Past Accepting new patients

Locations

1755 Coburg Rd
Unit 401
Eugene, OR 97401
Phone (541) 255-3905

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHEHCA/Endpoint/JHEHCA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1821162728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD UNIT 401",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014984",
            "telephone_number": "541-255-3905",
            "fax_number": "541-255-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD UNIT 401",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014984",
            "telephone_number": "541-255-3905",
            "fax_number": "541-255-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ANP ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "00032996NO",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200150050NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "BEEVOR",
            "middle_name": "JEAN",
            "credential": "RN ANP ACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.