Lua Weatherdon

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

447 SE Baseline St
Hillsboro, OR 97123-4103

Phone

(503) 640-4222

Fax

(503) 640-0334

NPI assigned

Aug 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Debbie Yoro

  • Clinical Social Worker
  • Beaverton, OR
  • NPI 1174825350
  NPD (past)
• Youth Contact, Inc

  • Mental Health Counselor
  • Hillsboro, OR
  • NPI 1124113527
  NPD (past)

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1962781740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 SE BASELINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234103",
            "telephone_number": "503-640-4222",
            "fax_number": "503-640-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 SE BASELINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234103",
            "telephone_number": "503-640-4222",
            "fax_number": "503-640-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERDON",
        "first_name": "LUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy D Watson, M.D.
• Maria Watters, PHD, CRC, LCMHC, LPC
• Bailey Alyce Watts, RDH
• Tara Marie Wayt, D.O.
• Mary Rose Weatherby, IBCLC
• Alison Weaver, MS, LPC
• Anthony Luke Weaver
• Crystal Colette Webb, M.A. QMHP
• Dustin Webb
• Reagan McKenzie Webb

• Social Worker in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.

Verify at the official NPI Registry.