KATHLEEN KRALL (NPI# 1477612844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477612844 |
| Entity Type | Individual |
| Full Name | KATHLEEN KRALL |
| Practice Address |
435 Lancaster Dr Ne Salem OR 97301-2762 |
| Practice Telephone | 5035856388 |
| Practice Fax Number | 5034853951 |
| Mailing Telephone | 5035856388 |
| Mailing Fax Number | 5035660212 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2006501 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 241310 | 05 |
| Street Address |
435 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902884448 | Sheryl E Combs | Nurse Practitioner | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2006-01-05 |
| 1942866470 | Stephen Hans Stoltzfus | Counselor | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2019-05-09 |
| 1073178323 | Anna Beatrice Forcelle | Student in an Organized Health Care Education/Training Program | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2019-05-02 |
| 1245724228 | Laura Michelle Hoffman | Student in an Organized Health Care Education/Training Program | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2018-06-21 |
| 1013436567 | Marcel Flores | Psychologist | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-09-15 |
| 1396261574 | Barbara Pociurko | Internal Medicine | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-08-18 |
| 1053833244 | Nicole Amalie Ford | Counselor | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-07-10 |
| 1467972273 | Benedicta Nneoma Nnodum | Internal Medicine | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-06-22 |
| 1457881914 | Richard Nalbandian | Counselor | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-06-18 |
| 1396279717 | Edwin Noel Centerwall | Pediatrics | 435 Lancaster Dr Ne, Salem, OR 97301-4729 | 2017-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
| 1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
| 1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
| 1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
| 1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
| 1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
| Find all providers in SALEM | ||||
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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.