ELIZABETH R BRUTON (NPI# 1144419789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144419789 |
| Entity Type | Individual |
| Full Name | ELIZABETH R BRUTON |
| Credential | PNP |
| Practice Address |
9135 Sw Barnes Rd Ste 561 Portland OR 97225-6643 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032162339 |
| Mailing Telephone | 5032156494 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
201603382NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R858140 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00675504 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 118 College Dr # 5163, Hattiesburg, MS 394060001 | 6012665163 | 6012665114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861648891 | Elizabeth Scott Bruton | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2008-08-11 |
| Street Address |
9135 SW BARNES RD STE 561 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750413878 | Deanne M Nelson | Speech-Language Pathologist | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225-6643 | 2007-03-12 |
| 1932687399 | Gayatri Ram | Speech-Language Pathologist | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225-6643 | 2018-07-29 |
| 1912410432 | Laura Louise Archer | Speech-Language Pathologist | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225-6643 | 2017-11-06 |
| 1013468545 | Allison M. Connolly | Audiologist | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225-6643 | 2016-10-19 |
| 1720535107 | Abby Neisius | Psychologist | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 | 2016-09-02 |
| 1649727223 | Amy Pineda | Physical Therapist | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 | 2016-09-01 |
| 1831433192 | Natalie T Butz | Occupational Therapist | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225-6643 | 2012-11-26 |
| 1053664441 | Rocio Cabrera | Speech-Language Pathologist | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225-6643 | 2012-10-23 |
| 1063791788 | Tara Darice Cenova | Speech-Language Pathologist | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225-6643 | 2011-08-11 |
| 1720384936 | Rebecca Austen | Occupational Therapist | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 | 2011-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197705 | Kelsey-jo Audrey Moss | Nurse Practitioner | 704b Ne 62nd Ave, Portland, OR 97213-4351 | 2019-10-30 |
| 1063054716 | Lori P Balchik | Nurse Practitioner | 277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 | 2019-10-15 |
| 1295273399 | Shaudine Woody | Nurse Practitioner | 11790 Sw Barnes Rd Ste 140, Portland, OR 97225-5938 | 2017-02-08 |
| 1003239120 | Iva Juric | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011 | 2014-01-24 |
| 1811249592 | Pollee Hruby Brookings | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw7, Portland, OR 97239-3098 | 2012-10-05 |
| 1033470646 | Chelsea Doherty | Nurse Practitioner | 14480 Sw 90th Ave, Portland, OR 97224 | 2012-05-31 |
| 1265699508 | Mallory Johnson | Nurse Practitioner | 11790 Sw Barnes Rd. Blg A, Ste 140, Portland, OR 97225 | 2008-05-22 |
| 1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
| 1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
| 1497377220 | Erika Lynn Rodakowski | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-05-14 |
| 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.