MS. BONNIE JEAN CALLMAN (NPI# 1124660618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124660618 |
Entity Type | Individual |
Full Name | MS. BONNIE JEAN CALLMAN |
Credential | PSS |
Practice Address |
2145 Centennial Plz Eugene OR 97401-2474 |
Practice Telephone | 5414856340 |
Practice Fax Number | 5419843124 |
Mailing Telephone | 5414856340 |
Mailing Fax Number | 5419843124 |
Enumeration Date | 2019-10-16 |
Last Update Date | 2019-10-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
2145 CENTENNIAL PLZ |
City | EUGENE |
State | OR |
Zip Code | 97401-2474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336192467 | Angela M Guion | Social Worker | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2006-05-18 |
1407453079 | Zachary Brennan | Counselor | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2020-10-06 |
1790397818 | Connor O'shea | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2020-08-19 |
1578198867 | Hannah Grace Vaughan | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2020-03-06 |
1326673989 | Sherry Asplund | Counselor | 2145 Centennial Plz, Eugene, OR 97401-2474 | 2020-03-04 |
1215577655 | Jodi Le Hecht | Counselor | 2145 Centennial Plz, Eugene, OR 97401-2474 | 2020-01-14 |
1144867011 | Tracey Eppler | Case Manager/Care Coordinator | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2019-12-10 |
1376186262 | Paige Mendoza | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2019-10-23 |
1437792843 | April Hughes Williams | Counselor | 2145 Centennial Plz, Eugene, OR 97401-2474 | 2019-10-18 |
1962967042 | Nicole Lynn Herzog | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2474 | 2019-02-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
Find all providers in zip 97401 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
1053879361 | Carol Jeanne Hansen | Peer Specialist | 72a Centennial Loop Ste 150, Eugene, OR 97401-2447 | 2019-03-05 |
1558844324 | Roman Bezvikonnyi | Peer Specialist | 3086 Memory Ln, Eugene, OR 97404-1838 | 2018-09-07 |
1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
1497296222 | Maria Regina Sison-valenti | Peer Specialist | 72a Centennial Loop, Suite 150, Eugene, OR 97401-2444 | 2017-03-13 |
1700335858 | Christina Gail Kazlas | Peer Specialist | 111 N Garfield St, Eugene, OR 97402-2619 | 2016-09-30 |
1316396187 | Matthew Allen Harlan | Peer Specialist | 4300 Goodpasture Loop, Apt.# 11, Eugene, OR 97401-1458 | 2016-06-12 |
1265888127 | Chenoa Bostick | Peer Specialist | 2525 Portland St, Eugene, OR 97405-3153 | 2016-05-10 |
1770980906 | Paul Revis | Peer Specialist | 2525 Portland St Apt 19, Eugene, OR 97405-3107 | 2014-12-03 |
1568607935 | Randy Jay Gudeika | Peer Specialist | 2145 Centennial Plaza, Laurel Hill Center, Eugene, OR 97401-2421 | 2008-12-12 |
Find all providers in EUGENE |
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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.