Jessica Erin Macaluso, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

200930404LPN Issued in OR

Practice address

16671 NW Dublin CT
Portland, OR 97229-1895

Phone

(503) 746-7404

NPI assigned

Sep 21, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1902130164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16671 NW DUBLIN CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972291895",
            "telephone_number": "503-746-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16671 NW DUBLIN CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972291895",
            "telephone_number": "503-746-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALUSO",
        "first_name": "JESSICA",
        "middle_name": "ERIN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "200930404LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Mabry
• Madison Marie Mabry, PAC
• Macadam Dental
• Macadam Eye Care, P.C.
• Molly Anne Macalpine
• Richard Macaluso, PTA
• Carol Jeanne Macarthur, MD
• Robert Conover Macauley Jr., M.D.
• Hannah Maccormack-Gelles, LCSW, MSW, CADCI
• Andrey Maccracken

• Licensed Practical Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.