MS. LINDSEY JOANN WISMER NP NPI 1871898544

NPI Information

NPI: 1871898544
Provider Name: MS. LINDSEY JOANN WISMER, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212
Phone: (503) 775-4931
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MS. Lindsey Joann Wismer, NP is a women's health nurse practitioner in Portland, OR with 14 years of experience. MS. Lindsey Joann Wismer, NP NPI is 1871898544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212-112
Phone: (503) 775-4931
Fax: (503) 788-7285

The NPI 1871898544 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2011 and was last updated on 8/27/2015.

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	363LA2200X	Nurse Practitioner	Adult Health	201050205NP	OREGON	No
2	363LW0102X	Nurse Practitioner	Women's Health	201050206NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500631538	MEDICAID	OREGON
2	1871898544	MEDICAID	WASHINGTON

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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