Active NPI
James Leo Vinson, B.S.N.
- Registered Nurse
- Tigard, OR
National Provider Identifier
1992033450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 200840470RN
- Practice address
- 16485 SW Pacific Hwy
Tigard, OR 97224-3446 - Phone
- (503) 620-5141
- NPI assigned
- Nov 21, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200840470RN | OR | Primary |
Addresses
Primary practice location
16485 SW Pacific Hwy
Tigard, OR 97224-3446
Mailing address
9492 SW Maplewood Dr
Apartment D41
Tigard, OR 97223-6157
Phone (503) 936-0376
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
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200840470RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258761600000",
"number": "1992033450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9492 SW MAPLEWOOD DR",
"address_2": "APARTMENT D41",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236157",
"telephone_number": "503-936-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16485 SW PACIFIC HWY",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243446",
"telephone_number": "503-620-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "JAMES",
"middle_name": "LEO",
"name_prefix": "Mr.",
"credential": "B.S.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-21",
"last_updated": "2009-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "200840470RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.