Individual provider Active NPI

Lisa Louise Nance, ADULT NP

  • Adult Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1942454327
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
091006214N3 Issued in OR
Practice address
3203 SE Woodstock Blvd
Reed College Student Health & Counseling Center
Portland, OR 97202-8138
Phone
(503) 777-7281
NPI assigned
Nov 11, 2008
Last updated
Nov 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 091006214N3 OR Primary

Addresses

Primary practice location

3203 SE Woodstock Blvd
Reed College Student Health & Counseling Center
Portland, OR 97202-8138

Mailing address

3203 SE Woodstock Blvd
Reed College Student Health & Counseling Center
Portland, OR 97219-8199
Phone (503) 777-7281

Other identifiers 1

IdentifierTypeStateIssuer
091006214N3OtherOROR STATE BOARD NURSING

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

LicenseStateTypeSpecialty
091006214N3ORMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1942454327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 SE WOODSTOCK BLVD",
            "address_2": "REED COLLEGE STUDENT HEALTH & COUNSELING CENTER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198199",
            "telephone_number": "503-777-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 SE WOODSTOCK BLVD",
            "address_2": "REED COLLEGE STUDENT HEALTH & COUNSELING CENTER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972028138",
            "telephone_number": "503-777-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "LISA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "ADULT NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "091006214N3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR STATE BOARD NURSING",
            "identifier": "091006214N3",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.