Carol Lynn Nightengale, LCSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

592 Issued in OR

Practice address

320 N Main Ave
Suite 216
Gresham, OR 97030-7242

Phone

(503) 669-1095

Fax

(503) 665-3299

NPI assigned

Oct 17, 2006

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

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Carol Nightengale P C

  • Preferred Provider Organization
  • Gresham, OR
  • NPI 1447503107
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1821179938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MAIN AVE",
            "address_2": "SUITE 216",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307242",
            "telephone_number": "503-669-1095",
            "fax_number": "503-665-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN AVE",
            "address_2": "SUITE 216",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307242",
            "telephone_number": "503-669-1095",
            "fax_number": "503-665-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGHTENGALE",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "credential": "LCSW, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Nguyen
• Christine Nicholas-Jenani
• Erik William Nielsen, M.D.
• Samuel Arthur Niemand
• Karen Elizabeth Nieten, OTR
• Jeffrey Robert Nikolaisen, PHARM D.
• John Samuel Nizic, DMD
• Dafna Sharon Noam, OTR/L
• Luke Noble, DDS
• Timothy O. Noreuil, MD

• Clinical Social Worker in Gresham, OR
• Providers in Gresham, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.