Individual provider Active NPI

Lisa Rebekka Ledson, RN

  • Registered Nurse
  • West Linn, OR
National Provider Identifier
1952993230
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
200841680RN Issued in OR
Practice address
4000 Mapleton Dr
West Linn, OR 97068-2142
Phone
(503) 949-6459
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60897415 WA
Community Health Registered Nurse 163WC1500X 200841680RN OR
Registered Nurse 163W00000X 200841680RN OR Primary

Addresses

Primary practice location

4000 Mapleton Dr
West Linn, OR 97068-2142

Mailing address

4000 Mapleton Dr
West Linn, OR 97068-2142
Phone (503) 949-6459

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60897415WAMDRegistered Nurse
200841680RNORMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nursewise Delegations, LLC Registered Nurse CurrentSince Apr 14, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1952993230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MAPLETON DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682142",
            "telephone_number": "503-949-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MAPLETON DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682142",
            "telephone_number": "503-949-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDSON",
        "first_name": "LISA",
        "middle_name": "REBEKKA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60897415",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "200841680RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200841680RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.