Active NPI
Vanessa Rose Wissler
- Behavior Analyst
- Portland, OR
National Provider Identifier
1952759052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-16-20405
- Practice address
- 2120 SW Jefferson St
Suite B200
Portland, OR 97201-7727 - Phone
- (503) 244-4083
- NPI assigned
- May 30, 2016
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-16-20405 | NV | Primary |
Addresses
Primary practice location
2120 SW Jefferson St
Suite B200
Portland, OR 97201-7727
Mailing address
1969 SW Park Ave Apt 706
Portland, OR 97201-3167
Phone (408) 693-0270
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-20405 | NV | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Hope for Autism Foundation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Portland, OR
- NPI 1093182644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485648000000",
"number": "1952759052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1969 SW PARK AVE APT 706",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972013167",
"telephone_number": "408-693-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 SW JEFFERSON ST",
"address_2": "SUITE B200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972017727",
"telephone_number": "503-244-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISSLER",
"first_name": "VANESSA",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-30",
"last_updated": "2017-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "RBT-16-20405",
"primary": true
}
],
"identifiers": [],
"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 Jan 29, 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.