Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740948272 Individual Practitioner Female Practitioner

Nikki Rae Proctor , LPN

Licensed Practical Nurse • Creswell, OR

Professional Overview & Biography Verified Profile Summary

Nikki Proctor, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Creswell, OR. Practice services are available at 735 S 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

735 S 2nd St

Creswell, OR 974267507

Telephone 5418953333
Fax 3603569020
Associated Practice Facility / Clinic
🏢 Care Center (Laneco) Inc Facility NPI 1851387179

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Creswell, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Creswell, OR (741 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-01
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OR 201704153LPN

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID N/a
NA

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Nikki Martin , COTA, L

Occupational Therapy Assistant

NPI 1083100283

Certified Occupational Therapy Assistant, L

Cynthia Leach , LPN

Licensed Practical Nurse

NPI 1205155587

Licensed Practical Nurse

Modesto King Andrew Formilleza , OTR

Occupational Therapist - Physical Rehabilitation

NPI 1285944561

Occupational Therapist Registered

Jenise Axberg , PTA

Physical Therapy Assistant

NPI 1386955953

Physical Therapist Assistant

Jessica Uhl , RN

Registered Nurse

NPI 1548928088

Registered Nurse

Stephen Nisewander

Occupational Therapy Assistant

NPI 1659867042

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2021

Registered at 735 S 2ND ST, CRESWELL, OR 974267507 (Tel: 5418953333)

📍
Updated Business Mailing Address December 01, 2021

Registered at 735 S 2ND ST, CRESWELL, OR 974267507 (Tel: 5418953333)

👤
Provider Name / Credentials Updated December 01, 2021

Recorded as NIKKI PROCTOR, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2021

Licensed Practical Nurse (License #201704153LPN in OR)

🟢
Initial NPI Registration & Enumeration December 01, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740948272
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2021
Last Update: December 01, 2021
Sole Proprietor: No

Mailing Address

735 S 2nd St

Creswell, OR 974267507

Phone: 5418953333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.