Individual provider Active NPI

Eva Angeline Sripada, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukie, OR
National Provider Identifier
1871865311
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201250001NP Issued in OR
Practice address
17070 SE McLoughlin Blvd
Milwaukie, OR 97267-4960
Phone
(503) 594-1772
Fax
(503) 594-1773
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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 Nurse Practitioner 363LP0808X 201250001NP OR Primary

Addresses

Primary practice location

17070 SE McLoughlin Blvd
Milwaukie, OR 97267-4960

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442
Phone (503) 645-9581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120717000677 OR Practitioner - Nurse Practitioner 2961668066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascadia HealthGroup PAC ID 7618873761, 53 clinicians

Practice addresses (Care Compare)

4212 SE Division St
Suite 100
Portland, OR 97206-1680
Phone (503) 236-7166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cascadia Health CurrentSince Aug 23, 2023 Accepting new patients
Lifeworks NW CurrentSince Mar 28, 2012 Accepting new patients
Cascadia Health CurrentSince Aug 23, 2023 Accepting new patients

Locations

971 SW Walnut St
Hillsboro, OR 97123
Phone (503) 640-5297

5415 SW Westgate Dr
Portland, OR 97221
Phone (503) 645-9010

17070 SE McLoughlin Blvd
Portland, OR 97267
Phone (503) 303-4000

4212 SE Division St
Ste 100
Portland, OR 97206
Phone (503) 238-0705

14600 NW Cornell Rd
Portland, OR 97229

707 NW Everett St
Portland, OR 97209
Phone (503) 222-4906

Organizations & group practices 3

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": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1871865311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295442",
            "telephone_number": "503-645-9581",
            "fax_number": "503-629-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972674960",
            "telephone_number": "503-594-1772",
            "fax_number": "503-594-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIPADA",
        "first_name": "EVA",
        "middle_name": "ANGELINE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201250001NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.