Ellisa Heally, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201703649RN Issued in OR

Practice address

917 SW Oak St Ste 309
Portland, OR 97205-2806

Phone

(541) 230-8302

NPI assigned

May 11, 2016

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

Other names 1

• Ellisa Barr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1861848657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 SW OAK ST STE 309",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052806",
            "telephone_number": "541-230-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SW OAK ST STE 309",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052806",
            "telephone_number": "541-230-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALLY",
        "first_name": "ELLISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201703649RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLISA",
            "last_name": "BARR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.