Individual provider Active NPI

Aaron Vance Noisey

  • Peer Specialist
  • Pendleton, OR
National Provider Identifier
1831559780
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
73265 Confederated Way
Pendleton, OR 97801-9099
Phone
(541) 966-9830
Fax
(541) 278-7568
NPI assigned
Mar 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X OR Primary

Addresses

Primary practice location

73265 Confederated Way
Pendleton, OR 97801-9099

Mailing address

73265 Confederated Way
Pendleton, OR 97801-9099
Phone (541) 966-9830

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

OrganizationSpecialtyStatusNew patients
Yellowhawk Tribal Health Center PastSince Feb 10, 2018 Accepting new patients
Assured Imaging Womens Wellness of Washington, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1831559780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73265 CONFEDERATED WAY",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978019099",
            "telephone_number": "541-966-9830",
            "fax_number": "541-278-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73265 CONFEDERATED WAY",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978019099",
            "telephone_number": "541-966-9830",
            "fax_number": "541-278-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOISEY",
        "first_name": "AARON",
        "middle_name": "VANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.