KATIE GRACE


Address: 1340 Nw Wall St, Bend, OR 97703-1985
Phone: 5414082955

KATIE GRACE (NPI# 1144681198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144681198
Entity Type Individual
Full Name KATIE GRACE
Practice Address 1340 Nw Wall St
Bend
OR 97703-1985
Practice Telephone 5414082955
Mailing Telephone 5414082955
Enumeration Date 2016-03-17
Last Update Date 2016-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1340 NW WALL ST
City BEND
State OR
Zip Code 97703-1985

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003949140 Heather Kristine Welker Occupational Therapist 1340 Nw Wall St, Bend, OR 97703 2007-03-14
1588275366 Lisa Brown Case Manager/Care Coordinator 1340 Nw Wall St, Bend, OR 97703-1985 2020-08-13
1124685268 Melissa Joi Lopez Peer Specialist 1340 Nw Wall St, Bend, OR 97703-1985 2019-05-23
1720549033 James Robert Estabrook Counselor 1340 Nw Wall St, Bend, OR 97703-1985 2019-03-28
1649777111 Rachele Gallinat Counselor 1340 Nw Wall St, Bend, OR 97703-1985 2018-04-10
1588188643 Desiree Dixon Counselor 1340 Nw Wall St, Bend, OR 97703-1985 2017-07-31
1679011274 Dustin Alexander Fanning-painter Case Manager/Care Coordinator 1340 Nw Wall St, Bend, OR 97703-1985 2017-02-03
1750824306 Zackary Hoyt Madison Counselor 1340 Nw Wall St, Bend, OR 97703-1985 2016-11-30
1437601358 Katelyn Place Peer Specialist 1340 Nw Wall St, Bend, OR 97703-1985 2016-10-26
1689125353 Deborah Chase Registered Nurse 1340 Nw Wall St, Suite 150, Bend, OR 97703-1985 2016-10-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285250704 Elizabeth Jane Lindt Counselor 63311 Jamison Street, Bend, OR 97703 2020-06-20
1790318145 Leah Alice Williamson Counselor 118 Nw Thurston Ave, Bend, OR 97703 2020-02-13
1831658301 Pretty Moments Lingerie, LLC Durable Medical Equipment & Medical Supplies 63455 N Hwy 97 Suite 44, Bend, OR 97703 2019-03-14
1821561150 Kevin Hallmeyer Chiropractor 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 2019-01-09
1346743267 Jesse Maggie Mae Abraham Massage Therapist 39 Nw Lousiana Ave, Bend, OR 97703 2018-03-16
1891202396 Jerod Paul Michael Speech-Language Pathologist 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 2018-01-05
1952823023 Dan Packman Massage Therapist 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 2017-07-11
1023460102 Brennon Patrick Moore Counselor 835 Nw Bond St Ste 100, Bend, OR 97703 2016-07-12
1093160269 Eric Hinds Optometrist 63455 N Highway 97 Ste 75, Bend, OR 97703 2016-04-25
1417316191 Ronald Guiley Od, Mph, PC Clinic/Center 63455 N Hwy 97, Ste 75, Bend, OR 97703 2016-02-23
Find all providers in zip 97703

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578162145 Kenneth Branson Peer Specialist 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 2020-10-23
1679188080 Michelle Marie Bunkers Peer Specialist 20517 Jacklight Ln, Bend, OR 97702-2971 2020-09-11
1922585413 Daniel Tovar Peer Specialist 1435 Ne 4th St Ste B, Bend, OR 97701-4268 2018-07-26
1194190652 Breann M Flores Peer Specialist 1435 Ne 4th St Suite B, Bend, OR 97701 2015-12-09
1144821745 Kristi L Schaffner Peer Specialist 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 2020-11-02
1760083356 Farrah Suzanne Carkhuff Peer Specialist 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 2020-11-02
1982201737 Kristie Galarza Peer Specialist 908 Ne 4th St Ste 101, Bend, OR 97701-4646 2020-10-05
1740887561 Nickolas Petragallo Peer Specialist 908 Ne 4th St Ste 101, Bend, OR 97701-4646 2020-10-05
1922614130 Kellie Rae Seems Peer Specialist 1435 Ne 4th St Ste B, Bend, OR 97701-4268 2020-09-22
1124633532 Travis M Nelson Peer Specialist 1435 Ne 4th St Ste B, Bend, OR 97701-4268 2020-09-11
Find all providers in BEND

Competitor

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City BEND
Zip Code 97703

Improve Information

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Dataset Information

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.

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