MRS. JAMAYCA JASMINE NELSON (NPI# 1275095937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275095937 |
| Entity Type | Individual |
| Full Name | MRS. JAMAYCA JASMINE NELSON |
| Credential | RN |
| Practice Address |
3955 Salmon River Hwy Otis OR 97368-9778 |
| Practice Telephone | 5416144437 |
| Practice Fax Number | 8889772106 |
| Mailing Telephone | 5416144437 |
| Mailing Fax Number | 8889772106 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
200541371RN | OR | Nursing Service Providers |
| Street Address |
3955 SALMON RIVER HWY |
| City | OTIS |
| State | OR |
| Zip Code | 97368-9778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891173571 | Keva Doreen Southwell | Physician Assistant | 3955 Salmon River Hwy, Otis, OR 97368 | 2015-05-13 |
| 1609338359 | Regina Andrea Diel | Counselor | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| 1720540461 | Christine Ann Massingale | Counselor | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| 1174085831 | Nicholas James Iamon | Registered Nurse | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| 1699237354 | Curtis P Waring | Registered Nurse | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| 1437611167 | Brandie Marie Randleman | Counselor | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| 1982197182 | Power House Detox | Rehabilitation, Substance Use Disorder Unit | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2018-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459464 | Jessica Marie Homan | Counselor | 3555 Salmon River Hwy, Otis, OR 97368 | 2019-04-03 |
| 1255502340 | Sharon Ann Lee | Social Worker | 7905 Ne 50th St, Otis, OR 97368 | 2008-03-17 |
| 1992839781 | Cynthia J. Luxford | Midwife | 3013 N. Northbank Road, Otis, OR 97368 | 2007-03-15 |
| 1386947950 | Dayna Rosalie Beadel Smith | Licensed Vocational Nurse | 799 N Deerlane Loop, Otis, OR 97368-9677 | 2010-12-21 |
| 1669704052 | Home Sweet Home Birth Center, LLC | Clinic/Center | 3013 N North Bank Rd, Otis, OR 97368-9754 | 2010-02-09 |
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699237354 | Curtis P Waring | Registered Nurse | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104458652 | Jorge I Deluna | Registered Nurse | 944 68th St, Springfield, OR 97478-2108 | 2020-02-12 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1710266226 | Anne Brown | Registered Nurse | 2165 Sw Main St, Portland, OR 97205-1123 | 2011-08-15 |
| 1942508726 | Judy Christine Hough | Registered Nurse | 1316 Sw Washington St, Portland, OR 97205-2327 | 2011-03-03 |
| 1114013919 | Sharon Kay Schmidt | Registered Nurse | 1181 Sw Ramsey Ave, Grants Pass, OR 97527 | 2006-10-05 |
| 1639791999 | Todd Yates | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-05-10 |
| 1780210914 | Carrie Tierney | Registered Nurse | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-03-19 |
| 1366076333 | Brittany L Jones | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-02-27 |
| 1841820735 | Adrian Herrera Gonzalez | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-21 |
| 1295375129 | Angeline Maria Huserik Cowles | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-08 |
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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.