MRS. ASHLEY Z MINAISE (NPI# 1366828501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366828501 |
| Entity Type | Individual |
| Full Name | MRS. ASHLEY Z MINAISE |
| Practice Address |
272 Medical Loop Suite C Roseburg OR 97470 |
| Mailing Address |
2001 Newcastle Nw Hughwood Roseburg OR 97471 |
| Practice Telephone | 5414403532 |
| Practice Fax Number | 5414403554 |
| Mailing Telephone | 5414403532 |
| Mailing Fax Number | 5414403554 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2016-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
272 MEDICAL LOOP SUITE C |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053395160 | Siobhan A Oreilly | Internal Medicine | 272 Medical Loop, Suite B, Roseburg, OR 97471-5597 | 2005-12-01 |
| 1396109096 | Marcia Marie Webber | Community Health Worker | 272 Medical Loop, Suite C, Roseburg, OR 97471 | 2016-04-08 |
| 1407216260 | Andrew Tyler Medlock | Community Health Worker | 272 Medical Loop, Suite C, Roseburg, OR 97471 | 2016-03-07 |
| 1972978237 | Gretchen Christine Lake | Community Health Worker | 272 Medical Loop, Suite C, Roseburg, OR 97471 | 2015-12-11 |
| 1255705448 | Patrick R Crawford | Case Manager/Care Coordinator | 272 Medical Loop, Suite E, Roseburg, OR 97471 | 2015-11-25 |
| 1508238668 | Lauren Anne Thomas | Community Health Worker | 272 Medical Loop, Suite C, Roseburg, OR 97471 | 2015-10-28 |
| 1144692203 | Kevin Bain | Community Health Worker | 272 Medical Loop, Suite C, Roseburg, OR 97471 | 2015-10-28 |
| 1851763379 | Andre Coleman Briggs | Community Health Worker | 272 Medical Loop, Suite C, Roseburg, OR 97471 | 2015-10-23 |
| 1104293083 | Megan Gene Buckley | Community Health Worker | 272 Medical Loop, Suite C, Roseburg, OR 97471 | 2015-08-27 |
| 1891162731 | Alexander Harrison Taylor | Community Health Worker | 272 Medical Loop, Suite C, Roseburg, OR 97471 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317230 | Zhana A Jacob | Peer Specialist | 1157 Nw Troost St, Roseburg, OR 97471-1896 | 2019-10-15 |
| 1376996140 | Terry Goldsworthy | Peer Specialist | 1600 Nw Garden Valley Blvd, Suite 110, Roseburg, OR 97471-8700 | 2016-07-18 |
| 1093322919 | Natasha Ritson | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-24 |
| 1427664630 | Sara Clark | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-22 |
| 1396366902 | Hayden Ring | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-05-05 |
| 1790306314 | Sandra K Schafer-wisener | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-05-05 |
| 1720609332 | Jennifer Schaan | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-05-05 |
| 1063033280 | Crystal Mcavoy | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-04-28 |
| 1871128215 | Melrose Mona Ellan Mask | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-03-05 |
| 1801368022 | Dawnya Guyette | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2018-12-28 |
| Find all providers in ROSEBURG | ||||
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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.