KARA LYNN LIECHTY (NPI# 1295332567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295332567 |
| Entity Type | Individual |
| Full Name | KARA LYNN LIECHTY |
| Credential | CNS-PP, RN |
| Practice Address |
11003 Sw 30th Pl Portland OR 97219-2588 |
| Practice Telephone | 7049750716 |
| Mailing Telephone | 7049750716 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 201609037RN | OR | Nursing Service Providers |
| Y | 364S00000X | Clinical Nurse Specialist | 202004895CNS-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11003 SW 30TH PL |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-2588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508212283 | Sodasavanh Joy Khamsoukthavong | Clinical Nurse Specialist | 501 N Graham St Ste 220, Portland, OR 97227-2014 | 2016-05-11 |
| 1235488651 | Claire M Yoshida | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd # L-586, Portland, OR 97239-3011 | 2012-08-30 |
| 1912027384 | Louise L Davis | Clinical Nurse Specialist | 121 Middle Street, Suite 404, Portland, ME 04101-4156 | 2007-03-30 |
| 1760954150 | Brenda Lynn Grossnickle | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-12-22 |
| 1053779801 | Tasha Nicole Searles | Clinical Nurse Specialist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2016-02-08 |
| 1407123219 | Kathleen Ann Fuglee | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Road, Primary Care Room F 120, Portland, OR 97207-1034 | 2011-11-22 |
| 1437448537 | Joan Di Brogrozcio Kono | Clinical Nurse Specialist | 707 Sw Gaines St, Mail Code: Cdrc-p, Portland, OR 97239-2901 | 2011-03-30 |
| 1538462411 | Jodi Duke | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd, Uhs 8z, Portland, OR 97239-3011 | 2010-12-14 |
| 1063713733 | Mary Denise Smith | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd, Uhs-3, Portland, OR 97239-3011 | 2010-11-10 |
| 1134225261 | Ann M Busch | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Rd, P3transplant, Portland, OR 97239-2964 | 2006-09-16 |
| 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.