BURL AMBER SMITH PSS
NPI 1942070982
Peer Specialist in Bend, OR

NPI Status: Active since January 02, 2024

Contact Information

20370 POE SHOLES DR
BEND, OR
ZIP 97703
Phone: (541) 318-1377

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  • Individual
  • Female
  • Peer Specialist

About BURL SMITH

This page provides the complete NPI Profile along with additional information for Burl Smith, a provider established in Bend, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1942070982 assigned on January 2024. The practitioner's primary taxonomy code is 175T00000X with license number THW000109693 (OR). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1942070982
Provider Name
BURL AMBER SMITH PSS
Gender
Female
Entity Type
Individual
Location Address
20370 POE SHOLES DR BEND, OR 97703
Location Phone
(541) 318-1377
Mailing Address
1943 NE HIGHER GROUND AVE BEND, OR 97701
Mailing Phone
(831) 920-7201
Is Sole Proprietor?
Yes
Enumeration Date
01-02-2024
Last Update Date
01-02-2024
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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

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License No.
THW000109693
License State
OR
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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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.
1942070982
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2982070916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 0 + 7 + 0 + 9 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1942070982 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740658046 KAYLIN PASCHAL
Individual
Registered Nurse20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1215308424 CARYN MAY
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 317-1377
1427290204MS. CHERI RENEY ATKINSON RN
Individual
Registered Nurse20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1861857138 DAVID VISIKO
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1972960912 CHRISTOPHER EDWARDS
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1598122400 HEATHER PATTERSON RN
Individual
Registered Nurse20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1023473535 ANONA KING
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1366802837 TAYLOR JAYNE CASE
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(630) 361-2743
1093956625 ANNE L PENDYGRAFT
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1487108478 REBECCA LEE THOMAS BS
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1962950121 WILLIAM DUBOSE
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1790237980 CODI R EICHER QMHA
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 390-8761
1982156170 NICHOLAS JAMESON
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1356883482 CARTER SPEAR
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1245777515 THOMAS MARTIN RN
Individual
Registered Nurse20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1932648144 SHANNAN KELLY SANBORN QMHA
Individual
Behavior Technician20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1619419884 BONNIE GARRETT RN
Individual
Registered Nurse20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1104269828 LORNA KATHLEEN ILLINGWORTH RN
Individual
Registered Nurse20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1790150639MS. PAT E HUGHES RN
Individual
Registered Nurse20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377
1366975070 ASHLEY CORRINE LOVELY
Individual
Counselor (Mental Health)20370 POE SHOLES DR
BEND, OR 97703
(541) 318-1377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942070982, enumerated in the NPI registry as an "individual" on January 02, 2024

The provider is located at 20370 Poe Sholes Dr Bend, Or 97703 and the phone number is (541) 318-1377

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on January 02, 2024. 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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