AMBER ROSE LANDRY (NPI# 1174880884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174880884 |
| Entity Type | Individual |
| Full Name | AMBER ROSE LANDRY |
| Credential | B.A. |
| Practice Address |
9911 Se Mount Scott Blvd Portland OR 97266-6302 |
| Mailing Address |
6851 N Fessenden St 2 Portland OR 97203-1872 |
| Practice Telephone | 5032334356 |
| Mailing Telephone | 7743640440 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407363716 | Amber Landry | Registered Nurse | 117 Olyvia Dr, Saint Jacob, IL 62281-1567 | 2018-01-08 |
| 1649650920 | Amber Chantell Landry | Pediatrics | 937 Sw 89th St Ste A, Oklahoma City, OK 73139-9231 | 2015-06-02 |
| 1669584421 | Amber Stevens Landry | Pharmacist | 1001 Highway 190 East Service Rd, Suite 132, Covington, LA 70433-4963 | 2006-08-31 |
| 1447618038 | Amber Elaine Landry | Nurse Practitioner | 54033 Highway 1062, Suite B, Loranger, LA 70446 | 2016-02-10 |
| 1588062350 | Amber Landry | Chiropractor | 1360 Powers Ferry Rd Se, Ste A100, Marietta, GA 30067-5490 | 2014-12-10 |
| Street Address |
9911 SE MOUNT SCOTT BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083693295 | Sharon Dixie Mcconnell | Registered Nurse | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2006-01-16 |
| 1467078683 | Kevin Brezler | Assistant Behavior Analyst | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-06-23 |
| 1699395061 | Madison Baker | Student in an Organized Health Care Education/Training Program | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-04-25 |
| 1134749500 | Rebecca Mae Williams | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-04-25 |
| 1194365056 | Victoria Gettel | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-01-08 |
| 1285273623 | Nelyda Saxton | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-01-02 |
| 1285279455 | Kyle Adelaide White | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-11-12 |
| 1225671837 | Justin Anthony Ingleton X | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-10-26 |
| 1972146389 | Jessica Romero-garcia | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-10-18 |
| 1568010379 | Paige Craine | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775558 | John Alan Varner | Case Manager/Care Coordinator | 5833 N Lombard St, Portland, OR 97203-4115 | 2020-06-24 |
| 1750906228 | Dwell Care LLC. | Case Manager/Care Coordinator | 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 | 2020-06-10 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102077 | Joslyn Bailey Gheen | Case Manager/Care Coordinator | 1032 Sw Main St, Portland, OR 97205-2407 | 2019-09-05 |
| 1497311773 | Ali Tareq Ashour | Case Manager/Care Coordinator | 980 Forest Ave Ste 106, Portland, ME 04103-3357 | 2019-05-13 |
| 1427540202 | Amber Tracy Ware | Case Manager/Care Coordinator | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2018-06-06 |
| 1710479209 | Katherine Anne Kerr | Case Manager/Care Coordinator | 4307 Ne 102nd Ave, Portland, OR 97220-3439 | 2018-05-31 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1083137459 | David Sague | Case Manager/Care Coordinator | 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 | 2017-07-18 |
| 1538601885 | Gabriela Simone Sargent | Case Manager/Care Coordinator | 4109 Se 113th Ave, Portland, OR 97266-2226 | 2016-11-16 |
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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.