JESSE KIPPERMAN (NPI# 1235759549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235759549 |
| Entity Type | Individual |
| Full Name | JESSE KIPPERMAN |
| Practice Address |
3600 Nw Samaritan Dr Corvallis OR 97330-3737 |
| Practice Telephone | 5417684906 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
PG199038 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3600 NW SAMARITAN DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998451 | Elizabeth A. Monson | Nurse Practitioner | 3600 Nw Samaritan Dr, Suite E350, Corvallis, OR 97330-3737 | 2005-11-03 |
| 1114539616 | Rachel Wortman | Occupational Therapist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-08-18 |
| 1467063198 | Karleen Hollis | Occupational Therapist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-08-14 |
| 1265058408 | Lisa M Stein | Dietitian, Registered | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-06-23 |
| 1881219608 | Yesenia Sequera | Doula | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-06-09 |
| 1336761808 | Thomas Crum | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-05-07 |
| 1447871587 | Daniel Stephen Mortens | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-29 |
| 1275153355 | Patrik Osornio-centerwall | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-20 |
| 1932729951 | Sunny D Patel | Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-20 |
| 1760002034 | James Reece Harris | Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-16 |
| Find all providers in the same location | ||||
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091670 | Clara A. Bozievich, M.d., P.C. | Psychiatry & Neurology | 971 Nw Spruce Ave Ste 102, Corvallis, OR 97330-2234 | 2020-10-22 |
| 1770849572 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 3517 Nw Samaritan Drive Suite 101, Corvallis, OR 97330-3768 | 2012-04-05 |
| 1649549155 | Margaret H Heine | Psychiatry & Neurology | 3509 Nw Samaritan Dr Ste 100, Corvallis, OR 97330-3893 | 2011-12-29 |
| 1891900023 | David J Heck | Psychiatry & Neurology | 2438 Nw Professional Dr, Corvallis, OR 97330-3991 | 2007-05-11 |
| 1518032549 | James Robertson Phelps | Psychiatry & Neurology | 3509 Nw Samaritan Dr Ste 215, Corvallis, OR 97330-3893 | 2006-11-22 |
| 1851497085 | Timothy Eldon Blumer | Psychiatry & Neurology | 3517 Nw Samaritan Dr Ste 101, Corvallis, OR 97330-3768 | 2006-09-15 |
| 1952347650 | Jennifer O. Hamilton | Psychiatry & Neurology | 525 Nw 2nd St, Suite 1, Corvallis, OR 97330-6487 | 2006-06-21 |
| 1225072317 | Michael Andrew May | Psychiatry & Neurology | 2211 Nw Professional Dr Ste 100, Corvallis, OR 97330-3891 | 2006-06-16 |
| 1366440323 | Michael V. Delollis | Psychiatry & Neurology | 3509 Nw Samaritan Dr, Suite 215, Corvallis, OR 97330-3893 | 2005-07-13 |
| 1720607088 | Warren T Keyser | Psychiatry & Neurology | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-15 |
| 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.