Southern Oregon Family Medicine LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SOUTHERN OREGON FAMILY MEDICINE LLC

Practice address

5005 Tolo Rd
Central Point, OR 97502-9335

Phone

(541) 840-8487

NPI assigned

Jul 5, 2024

Organization subpart

No

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

Authorized official

Name

Monique Noyes, FNP-BCNPI 1336394089

Title

President

Phone

(541) 840-8487

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique Anntoinette Noyes, FNP NP-PP

  • Family Nurse Practitioner
  • Central Point, OR
  • NPI 1336394089
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1992541296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 TOLO RD",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975029335",
            "telephone_number": "541-840-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 TOLO RD",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975029335",
            "telephone_number": "541-840-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "NOYES",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-840-8487",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Nathan Soriano
• Southern Oregon ABA
• Southern Oregon ABA, LLC
• Southern Oregon Aesthetics and Wellness, LLC
• Southern Oregon Chiropractic-Central Point, LLC
• Spencer Tippets, DDS, LLC
• Kathy A Sprick, DDS
• David Berris Standifer, PHYSICAL THERAPIST
• Megan Stanley, IBCLC
• Jennifer Marie Steele, MA

• Family Nurse Practitioner in Central Point, OR
• Providers in Central Point, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.