Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Alexis Proteau

Pharmacist β€’ Roseburg, OR

Active NPI 1609308071 Individual Practitioner Female Practitioner
Practice location in NPPES

913 Nw Garden Valley Blvd
Roseburg, OR 974716523

Call 5414401000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

913 Nw Garden Valley Blvd

Roseburg, OR 974716523

Telephone 5414401000
Fax 5414401000
Organization at the Same NPPES Address or Phone
Roseburg Vamc Facility NPI 1003874546

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Corvallis, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Roseburg and Oregon

94 active clinicians are listed under Pharmacist with a practice address in Roseburg, OR (3,575 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Roseburg

0% of these 94 clinicians have the CMS telehealth indicator.

0% of these 94 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OR RPH-0019132

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacy Technician

NUCC Taxonomy Code: 183700000X

License # reported to NPPES OR T-0021549

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

530 Nw 27th St

Corvallis, OR 973305223

Phone: 5417666835

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
NPI 1972687390

Doctor of Medicine (M.D.)

NPI 1619990108

Doctor of Medicine (M.D.)

Dr. Kelly Conklin , DNP

Nurse Practitioner - Family

NPI 1609893395

Doctor of Nursing Practice

Lindy Gomez , NP

Nurse Practitioner - Adult Health

NPI 1265445738

Nurse Practitioner

Aimee Kodiaq , FNP

Nurse Practitioner - Family

NPI 1760517098

Family Nurse Practitioner

David Lampert , NP

Nurse Practitioner - Adult Health

NPI 1558373126

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 14, 2022

Registered at 913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 974716523 (Tel: 5414401000)

πŸ“
Updated Business Mailing Address November 14, 2022

Registered at 913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 974716523 (Tel: 5414401000)

βœ…
NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 03, 2017

Registered at 530 NW 27TH ST, CORVALLIS, OR 973305223 (Tel: 5417666835)

πŸ“
Business Mailing Address (Initial Record) April 03, 2017

Registered at 530 NW 27TH ST, CORVALLIS, OR 973305223 (Tel: 5417666835)

πŸ‘€
Provider Name / Credentials (Initial Record) April 03, 2017

Recorded as ALEXIS PROTEAU

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Pharmacy Technician (license number reported to NPPES: OR T-0021549)

🟒
Initial NPI Registration & Enumeration April 03, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1609308071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2017
Last Update: November 14, 2022
Sole Proprietor: No

Other Pharmacists in Roseburg

All Pharmacists in Roseburg

Mailing Address

913 Nw Garden Valley Blvd

Roseburg, OR 974716523

Phone: 5414401000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.