Active NPI
Jean H. Waring, FNP
- Family Nurse Practitioner
- Woodburn, OR
National Provider Identifier
1891870622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200850037NP FNP-PP
- Practice address
- 1457 Mt. Hood Ave
Woodburn, OR 97071 - Phone
- (971) 983-5360
- Fax
- (971) 983-5343
- NPI assigned
- Oct 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200850037NP FNP-PP | OR | Primary |
| Women's Health Clinical Nurse Specialist | 364SW0102X | 200850037NP FNP-PP | OR |
Addresses
Primary practice location
1457 Mt. Hood Ave
Woodburn, OR 97071
Mailing address
PO Box 278
Woodburn, OR 97071
Phone (971) 983-5360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500602581 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200850037NP FNP-PP | OR | MD | Women's Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midcoast Hospital | 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.
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- Internal Medicine Physician
- Bath, ME
- NPI 1083636039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1891870622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 278",
"city": "WOODBURN",
"state": "OR",
"postal_code": "97071",
"telephone_number": "971-983-5360",
"fax_number": "971-983-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1457 MT. HOOD AVE",
"city": "WOODBURN",
"state": "OR",
"postal_code": "97071",
"telephone_number": "971-983-5360",
"fax_number": "971-983-5343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARING",
"first_name": "JEAN",
"middle_name": "H.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200850037NP FNP-PP",
"primary": true
},
{
"code": "364SW0102X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Women's Health",
"state": "OR",
"license": "200850037NP FNP-PP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500602581",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.