Jamie Dawn Fletcher

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

519225 Issued in OR

Practice address

5571 Highway Spur 95
Ontario, OR 97914-8055

Phone

(208) 550-0718

NPI assigned

Oct 29, 2021

Last updated

Oct 29, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1821752361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 HIGHWAY SPUR 95",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979148055",
            "telephone_number": "208-550-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 HIGHWAY SPUR 95",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979148055",
            "telephone_number": "208-550-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JAMIE",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "OR",
            "license": "519225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ontario",
            "affiliation": "N",
            "address_1": "5571 Highway Spur 95",
            "city": "Ontario",
            "state": "OR",
            "country_code": "US",
            "postal_code": "979148055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelica Fernandez
• Erin Desiree Fernandez
• Robert Nathaniel Fischer, RPH
• Michelle Lynn Fisher, CADC-R
• Terrence Lynn Fisher
• Orquidea Paola Flores, QMHP
• Briar Rose Fogleman
• Nancy Folden
• Dominique Camille Fontenette, MD
• Foot & Ankle Clinic PC

• Assisted Living Facility (Mental Illness) in Ontario, OR
• Providers in Ontario, OR by specialty
• Assisted Living Facility (Mental Illness) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.