Active NPI
Christy Alana Meade, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- MD0000043578
- Practice address
- 2801 N Gantenbein Ave
Portland, OR 97227-1623 - Phone
- (503) 276-9191
- NPI assigned
- Nov 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A91449 | CA | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | MD0000043578 | TN | Primary |
Addresses
Primary practice location
2801 N Gantenbein Ave
Portland, OR 97227-1623
Mailing address
101 SW Main St Ste 940
Portland, OR 97204-3216
Phone (503) 464-9034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A914490 | Medicaid | CA |
Other names 1
- Christy A. Meade
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.85 of 100
- Quality
- 84.92
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91449 | CA | MD | Pediatrics Physician |
| MD0000043578 | TN | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients |
Locations
2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
Organizations & group practices 2
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1962573725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SW MAIN ST STE 940",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972043216",
"telephone_number": "503-464-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 N GANTENBEIN AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271623",
"telephone_number": "503-276-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "CHRISTY",
"middle_name": "ALANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A91449",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TN",
"license": "MD0000043578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A914490",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "MEADE",
"middle_name": "A.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.