MRS. DORIS OKOLI (NPI# 1033733027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033733027 |
| Entity Type | Individual |
| Full Name | MRS. DORIS OKOLI |
| Other Name | DORIS IFEOMA AGU |
| Credential | DNP, MSN, RN, MPH |
| Practice Address |
2600 Center St Ne Salem OR 97301-2682 |
| Mailing Address |
17703 Sw Heatherwood Ln Sherwood OR 97140-7122 |
| Practice Telephone | 5039059209 |
| Mailing Telephone | 5622211114 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
202004180NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396245411 | Doris C Okoli | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2018-02-15 |
| Street Address |
2600 CENTER ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857295 | Charles J Rim | Dentist | 2600 Center St Ne, Salem, OR 97301-2669 | 2005-08-03 |
| 1467059782 | Lucas Arcoverde | Nurse Practitioner | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-10-08 |
| 1548875834 | Mona Keivani | Pharmacist | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-09-13 |
| 1689284739 | Nicole Humphrey | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-08-04 |
| 1679197370 | Kristopher Kurtis Adams | Psychologist | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-05-29 |
| 1275162711 | Tyler St. Clair | Social Worker | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-04-06 |
| 1689200784 | Sophia Jaeger-manson | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-20 |
| 1154956548 | Connie Jo Mickelson | Dietitian, Registered | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-06 |
| 1841824588 | Margherita Zaheera Vaulte | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-02 |
| 1578197455 | Ryan D Dunkley | Psychologist | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073421 | Aspire Telepsychiatry | Nurse Practitioner | 1910 24th St Ne, Salem, OR 97301-8150 | 2020-01-28 |
| 1962058362 | Kimberly Diane Nelson | Nurse Practitioner | 35 Congress St Ste 225, Salem, MA 01970-5529 | 2019-08-13 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1235493495 | Sarah Frances Robbins | Nurse Practitioner | 1595 Roosevelt St Ne, Salem, OR 97301 | 2012-07-02 |
| 1700155538 | Vanessa Anne Underwood | Nurse Practitioner | 1595 Cottage St Ne, Salem, OR 97301-7123 | 2011-12-22 |
| 1134364524 | Sharon Vaden Karn | Nurse Practitioner | 870 Commercial St Se, Salem, OR 97302-4108 | 2008-12-12 |
| 1861605768 | Barbara S Miller | Nurse Practitioner | Odoc, 2605 State St, Salem, OR 97310-0001 | 2007-05-07 |
| 1538225818 | Aleyna Cecile Reed | Nurse Practitioner | 685 Cottage St Ne, Salem, OR 97301-2419 | 2006-12-29 |
| 1407915408 | James Ben Newman | Nurse Practitioner | 1235 Woodrow St Ne, Salem, OR 97303-3214 | 2006-12-06 |
| 1033285713 | Rita Herlong | Nurse Practitioner | 4035 12th Street Cutoff, Suit120, Salem, OR 97302-1764 | 2006-11-27 |
| Find all providers in SALEM | ||||
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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.