Individual provider Active NPI

Rhiannon Fallon, CRM

  • Peer Specialist
  • Medford, OR
National Provider Identifier
1922798578
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
23-CRM-1693 Issued in OR
Practice address
1025 E Main St Ste 108
Medford, OR 97504-7690
Phone
(541) 200-1530
Fax
(541) 772-0284
NPI assigned
May 8, 2023
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 23-CRM-1693 OR Primary

Addresses

Primary practice location

1025 E Main St Ste 108
Medford, OR 97504-7690

Mailing address

525 N Riverside Ave Apt 9
Medford, OR 97501-4601
Phone (582) 293-5554

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

LicenseStateTypeSpecialty
23-CRM-1693ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Center of the Rogue Valley CurrentSince May 14, 2023 Accepting new patients

Locations

1025 E Main St
Ste 108
Medford, OR 97504
Phone (541) 200-1530

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1922798578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N RIVERSIDE AVE APT 9",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014601",
            "telephone_number": "582-293-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E MAIN ST STE 108",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047690",
            "telephone_number": "541-200-1530",
            "fax_number": "541-772-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "RHIANNON",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "23-CRM-1693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.