DR. NANETTE G ZUNKEL (NPI# 1396188488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396188488 |
| Entity Type | Individual |
| Full Name | DR. NANETTE G ZUNKEL |
| Other Name | NAN G ZUNKEL |
| Credential | DNP/FNP |
| Practice Address |
12360 E Burnside St Portland OR 97233-1042 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205-1715 |
| Practice Telephone | 9712794800 |
| Practice Fax Number | 9712792051 |
| Mailing Telephone | 9713862278 |
| Mailing Fax Number | 5032244494 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 095007085RN | OR | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | AP60770487 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201505394NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 095007085RN | OR | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500694451 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 N Morris St, Portland, OR 972271541 | 5032309875 | 5032309877 |
| Street Address |
12360 E BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508856188 | Artice E Geary | Social Worker | 12360 E Burnside St, Portland, OR 97233-1042 | 2005-10-25 |
| 1487262937 | Erica P Woody | Counselor | 12360 E Burnside St, Portland, OR 97233-1042 | 2020-07-21 |
| 1609416155 | Cara A Koch | Counselor | 12360 E Burnside St, Portland, OR 97233-1042 | 2020-01-13 |
| 1245878552 | Janelle M Bombara | Dietitian, Registered | 12360 E Burnside St, Portland, OR 97233-1042 | 2019-12-17 |
| 1932756707 | Holly A Fay | Registered Nurse | 12360 E Burnside St, Portland, OR 97233-1042 | 2019-08-26 |
| 1013570548 | Christa R Andreasen | Registered Nurse | 12360 E Burnside St, Portland, OR 97233-1042 | 2019-04-19 |
| 1679046965 | Emerson N Begay | Pharmacy Technician | 12360 E Burnside St, Portland, OR 97233-1042 | 2019-01-09 |
| 1215429394 | Phillip C Lacy | Pharmacy Technician | 12360 E Burnside St, Portland, OR 97233-1042 | 2018-06-04 |
| 1992205223 | Sarah E Bruno | Social Worker | 12360 E Burnside St, Portland, OR 97233-1042 | 2018-02-13 |
| 1093233868 | Sarah S Rivera | Peer Specialist | 12360 E Burnside St, Portland, OR 97233-1042 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| 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.