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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | LICENSE | 201905482NP-PP | 01 |
IL | ANCC PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER PMHNP-BC | 2018080836 | 01 |
Street Address |
700 S J ST |
City | LAKEVIEW |
State | OR |
Zip Code | 97630-1623 |
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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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 |
Find all providers in zip 97630 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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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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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.