Active NPI
Marianne Safford Disney
- Community Health Worker
- Bend, OR
National Provider Identifier
1891415311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- THW000105999
- Practice address
- 2200 NE Professional CT
Bend, OR 97702 - Phone
- (541) 389-6313
- Fax
- (541) 389-8760
- NPI assigned
- Sep 2, 2022
- Last updated
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | THW000105999 | OR | Primary |
Addresses
Primary practice location
2200 NE Professional CT
Bend, OR 97702
Mailing address
2200 NE Professional CT
Bend, OR 97702
Phone (541) 389-6313
Other names 1
- Marianne Safford Ginter
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdisney@copakids.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| THW000105999 | OR | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1891415311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NE PROFESSIONAL CT",
"city": "BEND",
"state": "OR",
"postal_code": "97702",
"telephone_number": "541-389-6313",
"fax_number": "541-389-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NE PROFESSIONAL CT",
"city": "BEND",
"state": "OR",
"postal_code": "97702",
"telephone_number": "541-389-6313",
"fax_number": "541-389-8760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISNEY",
"first_name": "MARIANNE",
"middle_name": "SAFFORD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "THW000105999",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdisney@copakids.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2200 NE Professional Ct",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "97702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARIANNE",
"last_name": "GINTER",
"middle_name": "SAFFORD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.