Active NPI
Martha C Thomas, CNP
- Women's Health Nurse Practitioner
- Oregon City, OR
National Provider Identifier
1962460725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 00031644N7 WHCNP
- Practice address
- 1508 Division St
Suite 205
Oregon City, OR 97045-1582 - Phone
- (503) 657-1071
- Fax
- (503) 657-3321
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 00031644N7 WHCNP | OR | Primary |
Addresses
Primary practice location
1508 Division St
Suite 205
Oregon City, OR 97045-1582
Mailing address
7650 SW Beveland Rd
Suite 200
Portland, OR 97223-8692
Phone (503) 657-1071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210811 | Medicaid | OR |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00031644N7 WHCNP | OR | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Urology, LLC | 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.
-
- Specialist
- Portland, OR
- NPI 1629461397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1962460725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 SW BEVELAND RD",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238692",
"telephone_number": "503-657-1071",
"fax_number": "503-657-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 DIVISION ST",
"address_2": "SUITE 205",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451582",
"telephone_number": "503-657-1071",
"fax_number": "503-657-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MARTHA",
"middle_name": "C",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "00031644N7 WHCNP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210811",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.