VODA INTEGRATIVE MEDICAL CLINIC
NPI 1669931499
Nurse Practitioner - Family in Newberg, OR

NPI Status: Active since March 19, 2019

Contact Information

434 VILLA RD
NEWBERG, OR
ZIP 97132
Phone: (309) 620-4438

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  • Organization
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • CLIA Number: 38D2167454
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 06-06-2027

About VODA INTEGRATIVE MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Voda Integrative Medical Clinic, a provider established in Newberg, Oregon operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1669931499 assigned on March 2019. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Voda Integrative Medical Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Voda Integrative Medical Clinic. The authorized official of this NPI record is Chelsea Deselms Fnp-c (Nurse Practitioner)

NPI
1669931499
Provider Legal Name
VODA INTEGRATIVE MEDICAL CLINIC LLC
Other Organization Name
VODA INTEGRATIVE MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
434 VILLA RD NEWBERG, OR 97132
Location Phone
(309) 620-4438
Mailing Address
440 N VILLA RD NEWBERG, OR 97132
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2019
Last Update Date
04-30-2020
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A nurse practitioner (NP) like Voda Integrative Medical Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

 
2363LW0102XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Women's Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Silver 6200 Individual and Family Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHELSEA DESELMS FNP-C

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(503) 476-1431

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2167454
Facility Type
Practitioner Other
Certificate Effective Date
June 07, 2025
Certificate Expiration Date
June 06, 2027
Laboratory Director
CHELSEA DESELMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Voda Integrative Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VODA INTEGRATIVE MEDICAL CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669931499
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291832418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 8 + 3 + 2 + 4 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1669931499 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245860527 SHANNAN GARCIA LMT
Individual
Massage Therapist434 VILLA RD
NEWBERG, OR 97132
(503) 554-0022
1013438829OREGON SPORTS AND FAMILY CHIROPRACTIC LLC
Organization
Chiropractor (Sports Physician)434 VILLA RD
NEWBERG, OR 97132
(503) 554-0022
1841596236DR. JOHN BRANDEN GARLAND D.C., C.C.S.P.
Individual
Chiropractor434 VILLA RD
NEWBERG, OR 97132
(503) 567-8558

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669931499, enumerated in the NPI registry as an "organization" on March 19, 2019

The provider is located at 434 Villa Rd Newberg, Or 97132 and the phone number is (309) 620-4438

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 38D2167454 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 19, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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