MR. SHINICHI DAIMYO PMHNP-BC, CRNP
NPI 1275041477
Nurse Practitioner - Psychiatric/Mental Health in Eugene, OR

Q: What is Shinichi Daimyo's NPI number?

The NPI number for Shinichi Daimyo is 1275041477. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Q: What is Shinichi Daimyo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shinichi Daimyo was last updated on December 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2018

132 E BROADWAY STE 810, EUGENE, OR 97401(541) 357-9433 Get Directions Write a Review

NPPES record last updated: December 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2023, Nov 18, 2023, Jan 23, 2019 and 1 more (4 updates tracked since 2018).

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About Mr. Shinichi Daimyo Pmhnp-bc, Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHINICHI DAIMYO PMHNP-BC, CRNP (NPI 1275041477) is an individual psychiatric/mental health provider in Eugene, Oregon, licensed in Oregon (202112981NP-PP) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1275041477

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. SHINICHI DAIMYOCredential: PMHNP-BC, CRNP

Location Address132 E BROADWAY STE 810Eugene, OR 97401-3160

Mailing Address16 Alward RdBoston, MA 02132-7703 · (617) 237-0455

Phone(541) 357-9433

Sole ProprietorYes

Enumeration DateJanuary 22, 2018

Last NPPES UpdateDecember 25, 20234 updates tracked since enumeration

NPPES CertifiedDecember 25, 2023

✔ NPI 1275041477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OR · 202112981NP-PP✔ Licensed in VT · 101.0134731✔ Licensed in WA · AP61136881✔ Licensed in NH · 084400-23✔ Licensed in MA · RN2323354✔ Licensed in ME · CNP211039✔ Licensed in PA · SP019201✔ Licensed in DC · RN1061501✔ Licensed in NY · F403863-01

132 E BROADWAY STE 810, Eugene, OR 97401

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHELSEA BUCINA PSYD

Psychologist (Clinical)

132 E BROADWAY STE 810
EUGENE, OR 97401

Lane County (541) 357-9433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shinichi Daimyo's NPI number?

The NPI number for Shinichi Daimyo is 1275041477. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Shinichi Daimyo located?

Shinichi Daimyo practices at 132 E Broadway Ste 810, Eugene, OR 97401. The listed phone number is (541) 357-9433.

What is Shinichi Daimyo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shinichi Daimyo was last updated on December 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.