Active NPI
Nicole Helen Converse, ND
- Naturopath
- Portland, OR
National Provider Identifier
1841508116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1443
- Practice address
- 2615 SE Morrison St
#2
Portland, OR 97214-3293 - Phone
- (503) 380-9857
- NPI assigned
- Sep 20, 2010
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1443 | OR | Primary |
Addresses
Primary practice location
2615 SE Morrison St
#2
Portland, OR 97214-3293
Mailing address
2615 SE Morrison St
#2
Portland, OR 97214-3293
Phone (503) 380-9857
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1443 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1841508116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 SE MORRISON ST",
"address_2": "#2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143293",
"telephone_number": "503-380-9857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 SE MORRISON ST",
"address_2": "#2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143293",
"telephone_number": "503-380-9857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONVERSE",
"first_name": "NICOLE",
"middle_name": "HELEN",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.