Individual provider Active NPI

Joni Marie Strub, RN

  • Registered Nurse
  • Eugene, OR
National Provider Identifier
1871132589
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
089000194RN Issued in OR
Practice address
2727 Martin Luther King Jr Blvd
Eugene, OR 97401-5901
Phone
(541) 682-4700
Fax
(541) 682-4732
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 089000194RN OR Primary

Addresses

Primary practice location

2727 Martin Luther King Jr Blvd
Eugene, OR 97401-5901

Mailing address

557 Covey LN
Eugene, OR 97401-8899
Phone (541) 953-1801

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
089000194RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lane County Youth Services CurrentSince May 7, 2024 Accepting new patients

Locations

2727 Martin Luther King Jr Blvd
Eugene, OR 97401
Phone (541) 682-4700

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": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1871132589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 COVEY LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018899",
            "telephone_number": "541-953-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MARTIN LUTHER KING JR BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015901",
            "telephone_number": "541-682-4700",
            "fax_number": "541-682-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUB",
        "first_name": "JONI",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "089000194RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.