KELLIE ELIZABETH WILCOX (NPI# 1104481175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104481175 |
| Entity Type | Individual |
| Full Name | KELLIE ELIZABETH WILCOX |
| Credential | RN |
| Practice Address |
5000 N Willamette Blvd Portland OR 97203-5743 |
| Mailing Address |
1615 Winter St Ne Salem OR 97301-7152 |
| Practice Telephone | 5039438000 |
| Mailing Telephone | 5039620387 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 201391227 | OR | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 201391227RN | OR | Nursing Service Providers |
| Street Address |
5000 N WILLAMETTE BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97203-5743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972630408 | Joel James Marick | Specialist/Technologist | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2007-02-28 |
| 1184237935 | Brittney Tice | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-08-30 |
| 1730792409 | Ashley Lisa Thiessen | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2020-08-24 |
| 1487262077 | Emily Elias | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-07-20 |
| 1871115469 | Kristina Diane Miller | Specialist/Technologist | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2020-05-18 |
| 1720614878 | Colleen Christine French | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-03-20 |
| 1306493341 | Sarah Faye Curde | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2019-08-23 |
| 1962056556 | Stephanie Lynn Jacobson | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2019-07-31 |
| 1821584871 | Ryan O'connell | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2018-07-02 |
| 1316324338 | Staci Wade-hernandez | Psychologist | 5000 N Willamette Blvd, Msc 147, Portland, OR 97203-5743 | 2015-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923757 | Justin Cummings | Meals | 10105 N. Oswego Ave, Portland, OR 97203 | 2020-05-14 |
| 1407335045 | Gage Solis | Student in an Organized Health Care Education/Training Program | 8425 N. Lombard St, Portland, OR 97203 | 2018-08-13 |
| 1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
| 1992139620 | Hannah Clare | Speech-Language Pathologist | 7126 N Amherst St, Portland, OR 97203 | 2013-08-29 |
| 1043656713 | Heather Ranae Mcintosh | Social Worker | 7323 N Burlington Ave, Portland, OR 97203 | 2013-05-21 |
| 1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
| 1144594094 | Candice Juliet Thomas | Pharmacist | 9000 N. Lombard St, Portland, OR 97203 | 2012-02-23 |
| 1093013211 | Aarisa Elysianne Smith | Mechanotherapist | 8438 N Lombard St, Ste 7, Portland, OR 97203 | 2011-03-11 |
| 1700103546 | Lisa Catherine Davis | Acupuncturist | 1614 Ne Alberta Street, Portland, OR 97203 | 2010-05-03 |
| 1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
| Find all providers in zip 97203 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332567 | Kara Lynn Liechty | Registered Nurse | 11003 Sw 30th Pl, Portland, OR 97219-2588 | 2020-10-08 |
| 1194331942 | Grace Duncan | Registered Nurse | 1200 Nw Marshall St Ste 1102, Portland, OR 97209-3177 | 2020-09-17 |
| 1790390151 | Megan M Goodman | Registered Nurse | 4262 N Vancouver Ave Apt 221, Portland, OR 97217-2995 | 2020-09-12 |
| 1548872963 | Courtney Marie Iaquinto Smith | Registered Nurse | 22 Se 11th Ave Apt 103, Portland, OR 97214-1392 | 2020-08-18 |
| 1508484759 | Jennifer Campbell | Registered Nurse | 3710 Sw Us Veterans Hospital Rd Bldg 100, Portland, OR 97239-2964 | 2020-07-13 |
| 1104441153 | Keri Swanson | Registered Nurse | 617 Nw 112th Ave, Portland, OR 97229-6118 | 2020-06-15 |
| 1710508635 | Jana Kaye Witherspoon | Registered Nurse | 306 Broadway Blvd, Portland, TX 78374-1301 | 2020-05-01 |
| 1639798655 | Natalie Shaki Assayas | Registered Nurse | 3705 N Overlook Blvd Apt 310, Portland, OR 97227-2036 | 2020-04-09 |
| 1275169229 | Alisa Y Newhall | Registered Nurse | 8303 N Dwight Ave, Portland, OR 97203-3514 | 2020-03-20 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| Find all providers in PORTLAND | ||||
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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.