Peri Anne Mayes, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

202005499 Issued in OR

Practice address

535 NE 6TH Ave
Estacada, OR 97023-9312

Phone

(503) 630-8550

NPI assigned

May 14, 2018

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15142/brand/1/csg/1/fhir/r4

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.

• Orchid Oakridge Clinic, PC

  dba Orchid Health Hoodland Clinic

  • Family Medicine Physician
  • Sandy, OR
  • NPI 1417098773
  NPD (past)

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1942790035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 HOLLY HILLS BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162253",
            "telephone_number": "314-481-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 NE 6TH AVE",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970239312",
            "telephone_number": "503-630-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24934 Fir Grove Ln",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "OR",
            "postal_code": "974379751",
            "country_code": "US",
            "telephone_number": "541-234-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47815 Highway 58",
            "address_purpose": "LOCATION",
            "city": "Oakridge",
            "state": "OR",
            "postal_code": "974639572",
            "country_code": "US",
            "telephone_number": "541-782-8304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54771 McKenzie Hwy",
            "address_purpose": "LOCATION",
            "city": "Blue River",
            "state": "OR",
            "postal_code": "974139790",
            "country_code": "US",
            "telephone_number": "541-822-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYES",
        "first_name": "PERI",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "133957",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202005499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500780769",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE BOARD OF NURSING--REGISTERED NURSE #",
            "identifier": "133957",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER--PMHNP CERTIFICATION",
            "identifier": "2018001235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Layton
• Antonio Clifton Long-Drew, LPC
• Michael T Malone III, D.C.
• Jennifer Ott Masotja-Wright
• Mastertech Security Services Inc
• April McCoy
• Patricia Ann McQuillin Voss, CNM, PMHNP-BC
• Oneta Renee' Megahan, LMTF
• James Miller
• Sara Kline Mitenbuler, CRNP

• Psychiatric/Mental Health Nurse Practitioner in Estacada, OR
• Providers in Estacada, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.