MRS. SOMPHONE S. BEASLEY (NPI# 1235393752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235393752 |
| Entity Type | Individual |
| Full Name | MRS. SOMPHONE S. BEASLEY |
| Credential | MSN, FNP |
| Practice Address |
2555 Ne Belvue St Corvallis OR 97330-4202 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5417682220 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200850063NP FNP- | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500601707 | 05 |
| Street Address |
2555 NE BELVUE ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215117692 | Good Samaritan Hospital Corvallis | Family Medicine | 2555 Ne Belvue St, Corvallis, OR 97330 | 2007-11-14 |
| 1386903474 | Good Samaritan Hospital Corvallis | Clinic/Center | 2555 Ne Belvue St, Corvallis, OR 97330 | 2012-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700122124 | Deborah Marchino | Nurse Practitioner | 3640 Nw Samaritan Drive, Suite 270, Corvallis, OR 97330-3769 | 2012-12-13 |
| 1710277330 | Susan Elizabeth Sligh | Nurse Practitioner | 2001 Nw Monroe Ave, 100, Corvallis, OR 97330-5508 | 2011-04-15 |
| 1780824672 | Cynthia Lee Bream | Nurse Practitioner | 1873a Nw Kings Blvd, Corvallis, OR 97330-1964 | 2009-03-04 |
| 1023292570 | Christy M Rummel | Nurse Practitioner | 1760 Sw 3rd St, Corvallis, OR 97333-1725 | 2007-12-19 |
| 1750585857 | Ilene Sharon Cann | Nurse Practitioner | 2001 Nw Monroe Ave Ste 104, Corvallis, OR 97330-5567 | 2007-06-13 |
| 1245391192 | Jonell Blase | Nurse Practitioner | 6242 Sw Timber Ridge Dr, Corvallis, OR 97333-2942 | 2006-12-13 |
| 1841228145 | Cristino Rodriguez | Nurse Practitioner | 527 Nw 27th Street, Corvallis, OR 97330 | 2006-06-28 |
| 1598745861 | Paula Marie King | Nurse Practitioner | 3680 Nw Samaritan Drive, Corvallis, OR 97330-3737 | 2006-01-20 |
| 1427033729 | Susan Carol Keister | Nurse Practitioner | 527 Nw 27th Avenue, Corvallis, OR 97330 | 2005-12-08 |
| 1023090339 | Sherry Ruth Goeden Vi | Nurse Practitioner | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2005-11-14 |
| Find all providers in CORVALLIS | ||||
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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.