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Amanda Marie Nonamaker , LPN

Licensed Practical Nurse β€’ Tigard, OR

Active NPI 1932686623 Individual Practitioner Female Practitioner
Practice location in NPPES

10763 Sw Greenburg Rd
Tigard, OR 972235492

Call 5038438747 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

10763 Sw Greenburg Rd

Tigard, OR 972235492

Telephone 5038438747
Organization at the Same NPPES Address or Phone
Crc Health Oregon, Llc Facility NPI 1184775967

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

NPI first issued

2018

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 Tigard and Oregon

26 active clinicians are listed under Licensed Practical Nurse with a practice address in Tigard, OR (725 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tigard

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 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: 2024-05-15
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OR 201710442LPN

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Business Mailing Address May 15, 2024

Registered at 324 NW DAVIS ST, PORTLAND, OR 972093925 (Tel: 5032262203)

πŸ‘€
Provider Name / Credentials Updated May 15, 2024

Recorded as AMANDA NONAMAKER, LPN

βœ…
NPI Profile Active July 25, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 25, 2018

Registered at 10763 SW GREENBURG RD, TIGARD, OR 972235492 (Tel: 5038438747)

πŸ“
Business Mailing Address (Initial Record) July 25, 2018

Registered at 10763 SW GREENBURG RD STE 10, TIGARD, OR 972235492 (Tel: 5036848159)

πŸ‘€
Provider Name / Credentials (Initial Record) July 25, 2018

Recorded as AMANDA NONAMAKER, LPM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2018

Licensed Practical Nurse (license number reported to NPPES: OR 201710442LPN)

🟒
Initial NPI Registration & Enumeration July 25, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932686623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2018
Last Update: May 15, 2024
Sole Proprietor: No

Mailing Address

324 Nw Davis St

Portland, OR 972093925

Phone: 5032262203

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.