Individual provider Active NPI

Jan Scott Garlock, PMHNP

  • Adult Psychiatric/Mental Health Registered Nurse
  • Medford, OR
National Provider Identifier
1861578353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
086006628N6 Issued in OR
Practice address
3140 Juanipero Way
Suite 102
Medford, OR 97504-8640
Phone
(541) 772-5992
Fax
(541) 772-5996
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 086006628N6 OR Primary

Addresses

Primary practice location

3140 Juanipero Way
Suite 102
Medford, OR 97504-8640

Mailing address

3140 Juanipero Way
Suite 102
Medford, OR 97504-8640
Phone (541) 772-5992

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
086006628N6ORMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jan Scott Garlock Pmhnp PC CurrentSince Nov 1, 2006 Accepting new patients

Locations

3140 Juanipero Way
Ste 102
Medford, OR 97504
Phone (541) 772-5992

33 N Central Ave
Ste 210
Medford, OR 97501
Phone (541) 499-0394

Organizations & group practices 1

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861578353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 JUANIPERO WAY",
            "address_2": "SUITE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048640",
            "telephone_number": "541-772-5992",
            "fax_number": "541-772-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 JUANIPERO WAY",
            "address_2": "SUITE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048640",
            "telephone_number": "541-772-5992",
            "fax_number": "541-772-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLOCK",
        "first_name": "JAN",
        "middle_name": "SCOTT",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OR",
            "license": "086006628N6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.