Active NPI
Delisa Je'Anne Hamness, RN, BSN
- Administrator Registered Nurse
- Portland, OR
National Provider Identifier
1942882618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 098000271RN
- Practice address
- 13007 NE Glisan St
Portland, OR 97230-2545 - Phone
- (503) 215-7844
- NPI assigned
- Apr 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 098000271RN | OR | Primary |
Addresses
Primary practice location
13007 NE Glisan St
Portland, OR 97230-2545
Mailing address
13937 SE Eastridge St
Portland, OR 97236-6631
Phone (503) 943-9185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098000271RN | Other | OR | OSBN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Providence | Health Information Exchange (HIE) |
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098000271RN | OR | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1942882618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13937 SE EASTRIDGE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972366631",
"telephone_number": "503-943-9185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13007 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972302545",
"telephone_number": "503-215-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMNESS",
"first_name": "DELISA",
"middle_name": "JE'ANNE",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-22",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "OR",
"license": "098000271RN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSBN",
"identifier": "098000271RN",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Providence",
"affiliation": "N",
"endpointDescription": "Glendoveer ELderPlace",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13007 NE Glisan St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972302545",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.