Jackie Kay Seguin, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

000033522N1FNPPP Issued in OR

Practice address

3231 SE 50TH Ave
Planned Parenthood of the Columbia Willamette
Portland, OR 97206

Phone

(503) 775-0861

Fax

(503) 788-7285

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Planned Parenthood of the Columbia/Willamette, Inc.

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1053311860
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962554543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 NE MULTNOMAH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321916",
            "telephone_number": "503-231-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SE 50TH AVE",
            "address_2": "PLANNED PARENTHOOD OF THE COLUMBIA WILLAMETTE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97206",
            "telephone_number": "503-775-0861",
            "fax_number": "503-788-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUIN",
        "first_name": "JACKIE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "000033522N1FNPPP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "263475",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "131475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Segal
• Gerald Marc Segal, M.D.
• Margery Ellen Segal, LPC
• James Lowell Seger
• Kathrine Segnitz, CHN
• Ryan Segur
• Jennifer Renee Segura, MD
• Paul S Sehdev, MD
• Harjit Singh Sehgal, BDS,MS,DIPLOMATE-ABP
• Anna Sehm

• Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.