Jeffrey Lee Ericks, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

20014909RN Issued in OR

Practice address

2681 Edgemont St SE
Albany, OR 97322-8824

Phone

(541) 967-0197

NPI assigned

Feb 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1912445941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 EDGEMONT ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973228824",
            "telephone_number": "541-967-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 EDGEMONT ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973228824",
            "telephone_number": "541-967-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKS",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "20014909RN",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "20014909RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Elzinga
• Michael E Emery, CRNA
• Stephanie B J Emery, MD
• Amanda Emmert
• Stephanie Nicole Emmert, O.D.
• Reuben Chester Ernst, DPT
• Amanda Ervin, RN
• Crystal Marie Eshelman
• Yesenia Espaillat
• Estes Enterprizes, LLC

• Psychiatric/Mental Health Registered Nurse in Albany, OR
• Providers in Albany, OR by specialty
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.