ERICA LYNN SIMONICH (NPI# 1396083242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396083242 |
| Entity Type | Individual |
| Full Name | ERICA LYNN SIMONICH |
| Credential | WHNP |
| Practice Address |
501 N Graham St Ste 550 Portland OR 97227-2010 |
| Mailing Address |
847 Ne 19th Ave Suite 300 Portland OR 97232-2684 |
| Practice Telephone | 5032845220 |
| Practice Fax Number | 5032844971 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2017-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP60577137 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
201400201NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
721409 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2035849 | 05 | |
| OR | 500670034 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609123272 | Erica Simonich | Nurse Practitioner | 177 Fort Washington Ave, Dept of Cardiothoracic Surgery, 7gn- Rm 435, New York, NY 10032-3733 | 2012-08-13 |
| Street Address |
501 N GRAHAM ST STE 550 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255368585 | Philippa Johanna Antoinette Ribbink | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2006-06-26 |
| 1992270847 | Katherine Lane Stiles | Naturopath | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2018-10-08 |
| 1194251637 | Natalie Ann Mohler | Nurse Practitioner | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2017-05-03 |
| 1093193864 | Erika Gene Copperman | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2015-05-13 |
| 1437492279 | Bethany Michaela Ambrosi | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2013-03-30 |
| 1942562723 | Lindsey Nicole Waugh | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2012-06-08 |
| 1386910818 | Kirstie Lauren Wilson-panum | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2012-03-29 |
| 1508960964 | Kimberly Ann Suriano | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2006-09-07 |
| 1770599128 | Brenda Lynn Kehoe | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2006-07-31 |
| 1306870787 | Lara Jeannette Williams | Obstetrics & Gynecology | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760043673 | Tracy Lee Stevens | Nurse Practitioner | 2222 Ne 130th Ave, Portland, OR 97230-1705 | 2019-06-23 |
| 1982837019 | Bronwyn Elizabeth Sewell | Nurse Practitioner | 443 Congress St Fl 2, Portland, ME 04101-3531 | 2009-08-24 |
| 1992831192 | Soledad Grefnes Iniguez | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Uhs29, Portland, OR 97239-3011 | 2007-02-24 |
| 1841363744 | Susan Wells | Nurse Practitioner | 1723 Sw Martha St, Portland, OR 97239-2715 | 2006-11-16 |
| 1255414223 | Kyle Bell Mcavoy | Nurse Practitioner | 120 Nw 14th Ave., Suite 200, Portland, OR 97409 | 2006-10-23 |
| 1043303902 | Sheryl Lynne Horwitz | Nurse Practitioner | 2701 Nw Vaughn St Ste 205, Portland, OR 97210-5352 | 2006-10-02 |
| 1720033384 | Carol Mccready | Nurse Practitioner | 970 Forest Ave, Portland, ME 04103-3331 | 2006-05-23 |
| 1689677445 | Evonne Maria Kandas | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 | 2005-05-24 |
| 1194251637 | Natalie Ann Mohler | Nurse Practitioner | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2017-05-03 |
| 1194274274 | Linda Anzalone | Nurse Practitioner | 1608 Se Ankeny St, Portland, OR 97214-1448 | 2016-09-29 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on ERICA LYNN SIMONICH.
| 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.