MR. JACOB K. MCGINNIS (NPI# 1194325357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194325357 |
| Entity Type | Individual |
| Full Name | MR. JACOB K. MCGINNIS |
| Credential | AGACNP-BC |
| Practice Address |
900 Sunset Dr La Grande OR 97850-1387 |
| Mailing Address |
6129 S Nevis Ave Boise ID 83709-6594 |
| Practice Telephone | 5419638421 |
| Mailing Telephone | 2088700020 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
900 SUNSET DR |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-1387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101696 | Geraldine Gardner | Internal Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2005-08-19 |
| 1861029159 | Robert Paul Shanks | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2020-03-25 |
| 1598228363 | Hannah Grace Robinson | Dietitian, Registered | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-09 |
| 1225590011 | Emily Whitesides | Physical Therapist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-02 |
| 1629530431 | Marci Brianne Clarke | Occupational Therapist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-01 |
| 1154885689 | Korreene Ann Dubray | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-01-29 |
| 1467974618 | Jared Johnathan Hulme | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-07-10 |
| 1891223848 | Roxanna Stephens | Registered Nurse | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
| 1376071357 | David Burt Ingram | Emergency Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
| 1942735097 | Hannah Hatley | Pharmacist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205276003 | Jeanna Romer | Student in an Organized Health Care Education/Training Program | 710 Sunset Dr, La Grande, OR 97850-1200 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407265 | Daisy May Macgilbert | Student in an Organized Health Care Education/Training Program | 15698 Sw Greenfield Dr, Tigard, OR 97224-3828 | 2020-11-03 |
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1497354880 | Justin Tyler Miracle | Student in an Organized Health Care Education/Training Program | 1421 Nw Cleveland Ave, Corvallis, OR 97330-2015 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1871100503 | Mason P Haye | Student in an Organized Health Care Education/Training Program | 21430 Miles Dr, West Linn, OR 97068-2880 | 2020-09-27 |
| 1760098628 | Reid Marion | Student in an Organized Health Care Education/Training Program | 21420 Colt Rd, Klamath Falls, OR 97603-9803 | 2020-09-16 |
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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.