Active NPI
Janean Marie Fossum, RN, BSN
- Community Health Registered Nurse
- Eugene, OR
National Provider Identifier
1891822938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- Practice address
- 115 Hansen LN
Eugene, OR 97404-3185 - Phone
- (541) 689-8902
- Fax
- (541) 461-9369
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Registered Nurse | 163WC1500X | OR | Primary |
Addresses
Primary practice location
115 Hansen LN
Eugene, OR 97404-3185
Mailing address
115 Hansen LN
Eugene, OR 97404-3185
Phone (541) 689-8902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098328 | Other | OR | DMAP |
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085073827RN | OR | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891822938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 HANSEN LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974043185",
"telephone_number": "541-689-8902",
"fax_number": "541-461-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HANSEN LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974043185",
"telephone_number": "541-689-8902",
"fax_number": "541-461-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSSUM",
"first_name": "JANEAN",
"middle_name": "MARIE",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMAP",
"identifier": "098328",
"state": "OR"
}
],
"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 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.