MRS. CORIE ANN SHAEVITZ (NPI# 1164797536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164797536 |
Entity Type | Individual |
Full Name | MRS. CORIE ANN SHAEVITZ |
Credential | ANP |
Practice Address |
10550 Lake Dr Se Salem OR 97306-8107 |
Practice Telephone | 5035087020 |
Practice Fax Number | 5033155881 |
Mailing Telephone | 5035087020 |
Mailing Fax Number | 5033155881 |
Enumeration Date | 2012-03-18 |
Last Update Date | 2012-03-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
091000435N3 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10550 LAKE DR SE |
City | SALEM |
State | OR |
Zip Code | 97306-8107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
Find all providers in zip 97306 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124642673 | Andrea Danielle Stanley | Nurse Practitioner | 4232 Stanley Ln, Salem, VA 24153-4027 | 2020-06-01 |
1962912964 | Cornelius Bela | Nurse Practitioner | 5 Gables Cir, Salem, MA 01970-1217 | 2017-10-04 |
1134369184 | Anne Marie Stanton | Nurse Practitioner | Dove Ave, Northshore Medical Center Heart and Wellness Center, Salem, MA 01970 | 2009-03-04 |
1932244753 | Kristen Lynn Khanna | Nurse Practitioner | 95 Stiles Rd, Suite 107, Salem, NH 03079-4805 | 2007-02-20 |
1467512277 | Kimberly E Kintz | Nurse Practitioner | 195 Cottage St Se, Salem, OR 97301-3808 | 2006-12-11 |
1710050828 | Lauren M Sherlock | Nurse Practitioner | 6 Ravenna Ave, Salem, MA 01970-1722 | 2006-11-16 |
1295845964 | Patsy Louise Britt | Nurse Practitioner | 510 South Main, Salem, AR 72576 | 2006-08-30 |
1518978469 | Frances Lydia Howe | Nurse Practitioner | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2006-08-10 |
1982659926 | Ellen M Russell | Nurse Practitioner | 162 Federal St, Salem, MA 01970-3248 | 2006-05-24 |
1386134807 | Courtney Mcdonald | Nurse Practitioner | 47 Congress St, Salem, MA 01970 | 2018-05-10 |
Find all providers in SALEM |
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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.