KERIANN ENSWORTH (NPI# 1114561925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114561925 |
| Entity Type | Individual |
| Full Name | KERIANN ENSWORTH |
| Practice Address |
777 Murphy Rd Medford OR 97504-8425 |
| Practice Telephone | 5417722763 |
| Practice Fax Number | 5417343164 |
| Mailing Telephone | 5417722763 |
| Mailing Fax Number | 5417343164 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 201900725LPN | OR | Nursing Service Providers |
| Street Address |
777 MURPHY RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225241441 | Crc Health Oregon, LLC | Clinic/Center | 777 Murphy Rd, Medford, OR 97504-8425 | 2007-05-07 |
| 1144831991 | Shawn Sorensen | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-08-14 |
| 1619588464 | Terry Darlene Hansen | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-08-14 |
| 1801411889 | Kelly Mcevilly | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-06-15 |
| 1205458072 | Deanna Granacki | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-05-14 |
| 1801416466 | Jamie Bradford | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-04-23 |
| 1528697596 | Jacob James Henderson | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-04-02 |
| 1366076333 | Brittany L Jones | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-02-27 |
| 1811529647 | Rachele Bedsole | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-02-10 |
| 1487285425 | Laurel Rose Pew | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1801496310 | Dyshonia Louise Dent | Licensed Practical Nurse | 1102 Lake Dr, Medford, NY 11763-4620 | 2020-10-26 |
| 1225635790 | Ashley Hartford | Licensed Practical Nurse | 94 Greenport Ave, Medford, NY 11763-3725 | 2020-10-07 |
| 1609407162 | Hannah Lynn Chapman | Licensed Practical Nurse | 244a Jamaica Ave, Medford, NY 11763-3237 | 2020-02-03 |
| 1376181040 | Jeimy Baez | Licensed Practical Nurse | 1001 Lake Dr, Medford, NY 11763-4618 | 2019-12-12 |
| 1326681032 | Ariel L. Barbour | Licensed Practical Nurse | 299 Southaven Ave, Medford, NY 11763-4332 | 2019-10-25 |
| 1821550526 | Shermille J Pascall | Licensed Practical Nurse | 5 Short St, Medford, NY 11763-4037 | 2019-04-02 |
| 1912486671 | Rachael Adejaiye | Licensed Practical Nurse | 39 Carr Ln, Medford, NY 11763-1070 | 2018-08-13 |
| 1598244238 | Chantal N Palomeque | Licensed Practical Nurse | 316 Peconic Ave, Medford, NY 11763-3549 | 2018-08-13 |
| 1033698121 | Laura Ruth Melilli | Licensed Practical Nurse | 1211 Wave Ave, Medford, NY 11763-1753 | 2018-08-09 |
| 1700375078 | Shawndel Minter | Licensed Practical Nurse | 125 Maple Ln, Medford, NY 11763-1027 | 2018-05-02 |
| Find all providers in MEDFORD | ||||
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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.