MRS. CHERYL LYNN PIPPIN (NPI# 1164505525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164505525 |
| Entity Type | Individual |
| Full Name | MRS. CHERYL LYNN PIPPIN |
| Other Name | MISS CHERYL BREZIC |
| Credential | MSN, PNP |
| Practice Address |
1322 E Mcandrews Rd Ste 202 Medford OR 97504-6177 |
| Practice Telephone | 5417733688 |
| Practice Fax Number | 5417733125 |
| Mailing Telephone | 5417733688 |
| Mailing Fax Number | 5417733125 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
OR099006263PNPN2 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321238 | Cheryl Dawn Pippin | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-10-21 |
| Street Address |
1322 E MCANDREWS RD STE 202 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154424158 | Laura Balestreri | Pediatrics | 1322 E Mcandrews Rd Ste 202, Medford, OR 97504-6177 | 2006-09-06 |
| 1760710172 | Harriet Jean Mattlin | Nurse Practitioner | 1322 E Mcandrews Rd Ste 202, Medford, OR 97504-6177 | 2009-11-23 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446311 | Theresa Bui | Nurse Practitioner | 101 Main St Ste 201, Medford, MA 02155-4530 | 2020-01-26 |
| 1952780736 | Melissa Stockman Adult Care Np PC | Nurse Practitioner | 41 Greenport Ave, Medford, NY 11763-3601 | 2015-05-26 |
| 1598959553 | Heather Lynn Horn | Nurse Practitioner | 713 Summit Ave, Medford, OR 97501-2349 | 2007-09-04 |
| 1851366694 | Bonita Annette Ryall | Nurse Practitioner | 731 Summit Ave, Medford, OR 97501-2349 | 2006-02-22 |
| 1477533263 | Diana Scholtz | Nurse Practitioner | 750 Murphy Rd, Medford, OR 97504-8426 | 2006-01-18 |
| 1528532686 | Catherine Margaret Flynn | Nurse Practitioner | 2799 Route 112 Ste 11, Medford, NY 11763-2535 | 2019-01-11 |
| 1609391721 | Amy Lauren Montes | Nurse Practitioner | 816 W 10th St, Medford, OR 97501-3016 | 2017-08-09 |
| 1770033474 | Whitney A Serafini | Nurse Practitioner | 840 Royal Ave, Ste 110, Medford, OR 97504-6461 | 2016-10-06 |
| 1790038495 | Jennifer Katharine Boudreaux | Nurse Practitioner | 920 Royal Ave, Medford, OR 97504-6169 | 2012-10-18 |
| 1548332885 | Janet L Meyer | Nurse Practitioner | 19 Myrtle St, Medford, OR 97504-7337 | 2006-11-14 |
| 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.