MR. SHINICHI DAIMYO PMHNP-BC CRNP NPI 1275041477

NPI Information

NPI: 1275041477
Provider Name: MR. SHINICHI DAIMYO, PMHNP-BC, CRNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
132 E BROADWAY STE 810
EUGENE, OR
ZIP 97401
Phone: (541) 357-9433
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MR. Shinichi Daimyo, PMHNP-BC, CRNP is a psychiatric/mental health nurse practitioner in Eugene, OR. MR. Shinichi Daimyo, PMHNP-BC, CRNP NPI is 1275041477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

132 E BROADWAY STE 810
EUGENE, OR
ZIP 97401-160
Phone: (541) 357-9433

The enumeration date for this NPI number is 1/22/2018 and was last updated on 12/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	101.0134731	VERMONT	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61136881	WASHINGTON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	084400-23	NEW HAMPSHIRE	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2323354	MASSACHUSETTS	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CNP211039	MAINE	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	SP019201	PENNSYLVANIA	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN1061501	DISTRICT OF COLUMBIA	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	F403863-01	NEW YORK	No
9	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202112981NP-PP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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