Jacqueline Niemeyer

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

096007262RN Issued in OR

Practice address

2035 Davcor St SE
Salem, OR 97302-1595

Phone

(503) 588-5858

Fax

(503) 361-2688

NPI assigned

Apr 22, 2014

Last updated

Apr 22, 2014By 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

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1841610516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 DAVCOR ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021595",
            "telephone_number": "503-588-5858",
            "fax_number": "503-361-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 DAVCOR ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021595",
            "telephone_number": "503-588-5858",
            "fax_number": "503-361-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMEYER",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "096007262RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chunmei Nie, LMT
• Marina Nieblas, QMHA
• Kent Reger Niedens, PHARM.D.
• Kathryn A Nielsen, RN CNM
• Rachel Nielsen, DPT
• Maria Niemuth, DO
• Molly Nienhuis, PT
• Jaanai Nieto
• Karissa Faith Nigg
• Night Sky Therapy, LLC

• Addiction (Substance Use Disorder) Registered Nurse in Salem, OR
• Providers in Salem, OR by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.