Individual provider Active NPI

Peggy S Casebeer, PMHNP

  • Psychiatric/Mental Health Registered Nurse
  • Forest Grove, OR
National Provider Identifier
1871663781
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Practice address
4110 Pacific Ave
Ste.202
Forest Grove, OR 97116-2266
Phone
(503) 357-9548
Fax
(503) 357-1158
NPI assigned
Nov 8, 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
Psychiatric/Mental Health Registered Nurse 163WP0808X OR Primary

Addresses

Primary practice location

4110 Pacific Ave
Ste.202
Forest Grove, OR 97116-2266

Mailing address

4110 Pacific Ave
Ste.202
Forest Grove, OR 97116-2266
Phone (503) 357-9548

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

LicenseStateTypeSpecialty
200250147 NPORMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Institute, P.C. Past Accepting new patients

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871663781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 PACIFIC AVE",
            "address_2": "STE.202",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162266",
            "telephone_number": "503-357-9548",
            "fax_number": "503-357-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 PACIFIC AVE",
            "address_2": "STE.202",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162266",
            "telephone_number": "503-357-9548",
            "fax_number": "503-357-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEBEER",
        "first_name": "PEGGY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, 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.