Active NPI
Paula Southwick
- Case Manager/Care Coordinator
- Baker City, OR
National Provider Identifier
1821228834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2200 4TH St
Baker City, OR 97814-2615 - Phone
- (541) 523-3646
- NPI assigned
- Jul 24, 2009
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2200 4TH St
Baker City, OR 97814-2615
Mailing address
2200 4TH St
Baker City, OR 97814-2615
Phone (541) 523-3646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014274 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248393600000",
"number": "1821228834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 4TH ST",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978142615",
"telephone_number": "541-523-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 4TH ST",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978142615",
"telephone_number": "541-523-3646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWICK",
"first_name": "PAULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-24",
"last_updated": "2009-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014274",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.