MS. ELLEN EDITH MOUSER


Address: 700 S J St, Lakeview, OR 97630-1623
Phone: 5419473366

MS. ELLEN EDITH MOUSER (NPI# 1003238668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003238668
Entity Type Individual
Full Name MS. ELLEN EDITH MOUSER
Credential ANP
Practice Address 700 S J St
Lakeview
OR 97630-1623
Practice Telephone 5419473366
Practice Fax Number 5419474404
Mailing Telephone 5419473366
Mailing Fax Number 5419474404
Enumeration Date 2014-01-15
Last Update Date 2019-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201905482NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
209011105 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR LICENSE 201905482NP-PP 01
IL ANCC PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER PMHNP-BC 2018080836 01

Office Location

Street Address 700 S J ST
City LAKEVIEW
State OR
Zip Code 97630-1623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851399695 Lake Health District Medicare Defined Swing Bed Unit 700 S J St, Lakeview, OR 97630-1623 2005-07-13
1942815071 Amron L Lym Physical Therapist 700 S J St, Lakeview, OR 97630-1623 2020-09-15
1538774062 Jedediah James Adams Physical Therapist 700 S J St, Lakeview, OR 97630-1623 2020-09-11
1649889148 Mesa Greenfield Registered Nurse 700 S J St, Lakeview, OR 97630-1623 2020-07-30
1821615584 Joseph D Hermann Social Worker 700 S J St, Lakeview, OR 97630-1623 2020-06-29
1063075406 Julia Snedigar Speech-Language Pathologist 700 S J St, Lakeview, OR 97630-1623 2019-04-22
1821428442 Erin Danielle Steward Physician Assistant 700 S J St, Lakeview, OR 97630-1623 2013-11-18
1871840868 Rosanne Fitzgerald Nurse Practitioner 700 S J St, Lake Health Clinic, Lakeview, OR 97630-1623 2012-08-08
1932479201 Lake District Hospital Physicians Group General Acute Care Hospital 700 S J St, Lakeview, OR 97630-1623 2012-01-04
1184935876 Matthew Christopher Foster Family Medicine 700 S J St, Lakeview, OR 97630 2010-06-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891186326 Susan Ann Mungarro Counselor 215 North G Street, Lakeview, OR 97630 2015-02-05
1699183236 Lake Health District Clinic/Center 700 South J St, Lakeview, OR 97630 2014-07-28
1912059569 Howards Pharmacy Inc Pharmacy 101 North F St, Lakeview, OR 97630 2007-01-16
1316056120 Michael Sabin Dmd PC Dentist 733 N 1st Street, Lakeview, OR 97630 2006-08-29
1174586564 Donald Frank Ott Nurse Anesthetist, Certified Registered 700 S J, Lakeview, OR 97630 2006-04-08
1760922033 Darrel Kyniston Kyniston Counselor 215 North G Street, Lakeview, OR 97630 2017-03-06
1518376722 Lakeview Gardens LLC Skilled Nursing Facility 700 South J St, Lakeview, OR 97630 2014-08-13
1457407264 Angelyn Ray Social Worker 100 N. D Street, Office # 208 The Marius Building, Lakeview, OR 97630-0000 2007-01-25
1003823790 Mary Juree Anderson Registered Nurse 530 Sunset, Lakeview, OR 97630-0032 2006-08-02
1225232663 Barbara Joanne Vandenberg Counselor Po Box 948, Lakeview, OR 97630-0037 2007-06-11
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1629687892 Robin Sue Finney Nurse Practitioner 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 2020-07-23
1518584457 Akhena Health & Wellness LLC Nurse Practitioner 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 2020-06-26
1447871678 Monarch Mental Health LLC Nurse Practitioner 1927 Channel St, North Bend, OR 97459-1826 2020-04-28
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1366071607 Med Rx Partners, P.C. Nurse Practitioner 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 2020-04-08
1417583170 Brittany Joy Monson Nurse Practitioner 12115 Sw 70th Ave, Tigard, OR 97223-9647 2020-03-13
1073147716 Paradigm Mental Health and Wellness LLC Nurse Practitioner 724 S Central Ave Ste 101d, Medford, OR 97501-7808 2020-03-02
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
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Competitor

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City LAKEVIEW
Zip Code 97630

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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