VANESSA J TEDISCH (NPI# 1184067167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184067167 |
Entity Type | Individual |
Full Name | VANESSA J TEDISCH |
Practice Address |
1046 6th Ave Sw Albany OR 97321-1916 |
Mailing Address |
3247 Indian Wells Loop S Salem OR 97302-9679 |
Practice Telephone | 5418124730 |
Practice Fax Number | 5418124719 |
Mailing Telephone | 5416660586 |
Enumeration Date | 2013-04-09 |
Last Update Date | 2019-10-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0014213 | OR | Pharmacy Service Providers |
Street Address |
1046 6TH AVE SW |
City | ALBANY |
State | OR |
Zip Code | 97321-1916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659341386 | Leo Cytrynbaum | Internal Medicine | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2006-01-25 |
1881217818 | Christine Nelson | Occupational Therapist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2020-05-26 |
1982245452 | Cheryl Ann Hanslovan | Pharmacist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-10-04 |
1073163408 | Rebecca Riley Moyes | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
1811547250 | Jason Da Johnson | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
1548810989 | Kenneth Nealy | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
1215596101 | Mitchell V Prunk | Physical Therapist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-06-13 |
1376107250 | Kevin Christopher Bolen | Specialist/Technologist, Other | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-04-26 |
1902367527 | Ashley Biegler | Nurse Anesthetist, Certified Registered | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-03-27 |
1124583604 | Brooke Danielle Duncan | Dietitian, Registered | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-02-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
Find all providers in zip 97321 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
1982245452 | Cheryl Ann Hanslovan | Pharmacist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-10-04 |
1760960801 | Sara Evanko | Pharmacist | 2272 Santiam Hwy Se, Albany, OR 97322-5205 | 2018-07-31 |
1346748712 | Jan Matherne Lantrip | Pharmacist | 29148 South Montpelier Ave, Albany, LA 70711-0328 | 2018-01-31 |
1154867810 | Chelsea Bond | Pharmacist | 400 Hickory St Nw, Albany, OR 97321-1700 | 2017-01-18 |
1982076022 | Jeremy Boyd Theobald | Pharmacist | 1010 7th Ave Sw, Albany, OR 97321-1922 | 2015-10-28 |
1902296544 | Esther Chon | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6918 | 2015-02-04 |
1679832927 | Tiffany Gitt | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2012-05-07 |
1487977955 | Colby Mitchell | Pharmacist | 43 New Scotland Ave, Mc85, Albany, NY 12208-3412 | 2010-03-11 |
1477885119 | Cheryl Mann Krenn | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6918 | 2010-02-05 |
Find all providers in ALBANY |
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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.