ELIZABETH WHITESIDE (NPI# 1285003913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285003913 |
| Entity Type | Individual |
| Full Name | ELIZABETH WHITESIDE |
| Credential | PMHNP |
| Practice Address |
10300 Sw Eastridge St Portland OR 97225-5004 |
| Mailing Address |
5455 Almira Dr Ne Kitsap Mental Health Bremerton WA 98311 |
| Practice Telephone | 5039445000 |
| Mailing Telephone | 3603735031 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2017-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201606700NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10300 SW EASTRIDGE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457446205 | Neha Gauri | Psychiatry & Neurology | 10300 Sw Eastridge St, Portland, OR 97225-5004 | 2006-10-04 |
| 1942764261 | Howell Ben Benoit Cobb | Counselor | 10300 Sw Eastridge St, Portland, OR 97225-5004 | 2019-01-31 |
| 1215471040 | Markus Dickerson | Adult Companion | 10300 Sw Eastridge St, Portland, OR 97225-5004 | 2016-12-13 |
| 1053775007 | Sarah Saint John Dobey | Counselor | 10300 Sw Eastridge St, Portland, OR 97225-5004 | 2016-04-06 |
| 1215312053 | Kevin Seyler | Social Worker | 10300 Sw Eastridge St, Portland, OR 97225-5004 | 2015-07-22 |
| 1366872517 | Sarah Rebecca Paul | Nurse Practitioner | 10300 Sw Eastridge St, Portland, OR 97225-5004 | 2013-11-24 |
| 1013259365 | Danielle Corin Mohr | Counselor | 10300 Sw Eastridge St, Portland, OR 97225-5004 | 2013-03-25 |
| 1114228426 | Scott Emerson Dillinger | Social Worker | 10300 Sw Eastridge St, Portland, OR 97225-5004 | 2010-11-03 |
| 1770656852 | Nauphyll Zuberi | Psychiatry & Neurology | 10300 Sw Eastridge St, Portland, OR 97225-5004 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| 1346802733 | Compass Psychiatric Wellness LLC | Nurse Practitioner | 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 | 2019-07-05 |
| 1548721871 | Cooke Therapy Pllc | Nurse Practitioner | 1125 Se Madison St Ste 102, Portland, OR 97214-3600 | 2019-03-28 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1467969220 | Nw Mind-body Wellness, LLC | Nurse Practitioner | 16986 Nw Lynch Ln, Portland, OR 97229-1221 | 2018-01-02 |
| 1811441348 | Anthony Hoy | Nurse Practitioner | 5562 Se Pine St, Portland, OR 97215-1276 | 2016-08-12 |
| 1700241254 | Jacqueline J Cole | Nurse Practitioner | 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 | 2015-12-29 |
| Find all providers in PORTLAND | ||||
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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.