PATRICK KEYES DONNELLY (NPI# 1487137592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487137592 |
Entity Type | Individual |
Full Name | PATRICK KEYES DONNELLY |
Credential | PEER SPECIALIST |
Practice Address |
401 Fourth St Fossil OR 97830-8302 |
Practice Telephone | 5412566300 |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-09-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | OR | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760792535 | Patrick Webb Donnelly | Pharmacist | 3420 North Scottsdale Road, Scottsdale, AZ 85251 | 2010-10-14 |
1144302696 | Patrick Francis Donnelly | Prosthetic/Orthotic Supplier | 85 Barnes Rd Ste 302, Wallingford, CT 06492-1832 | 2006-10-20 |
1588610463 | Patrick M Donnelly | Specialist/Technologist | 1 Folmer Drive, Cortland, NY 13045 | 2006-05-25 |
1720508625 | Patrick Eamon Donnelly | Chiropractor | 5001 Peachtree Blvd, Ste 625, Chamblee, GA 30341-2820 | 2017-06-21 |
1770994253 | Patrick Donnelly | Physician Assistant | 881 Uss James Madison Rd, Naval Branch Health Clinic Kings Bay, Kings Bay, GA 31547-2531 | 2014-05-18 |
1255591178 | Patrick G Donnelly | Nurse Anesthetist, Certified Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2008-06-13 |
1104000819 | Patrick F Donnelly | Dentist | 105 Union Ave, Brielle, NJ 08730-1813 | 2007-12-18 |
1083786040 | Patrick Michael Donnelly | Nurse Practitioner | 9709 Bruton Rd, Dallas, TX 75217-2704 | 2006-11-14 |
Street Address |
401 FOURTH ST |
City | FOSSIL |
State | OR |
Zip Code | 97830-8302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760040398 | Nicole Eoute | Counselor | 401 Fourth St, Fossil, OR 97830-8302 | 2019-05-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003920125 | Paul C. Smith | Social Worker | 401 Fourth Street, Fossil, OR 97830 | 2006-08-18 |
1780797357 | Maryhelen I Peterson | Counselor | 401 4th Street, Fossil, OR 97830 | 2006-08-16 |
1376583948 | Janet Leee Ridgley | Nurse Practitioner | 712 Jay St, Fossil, OR 97830 | 2006-06-08 |
1669816898 | Amanda Ann Roy | Physician Assistant | 712 Jay Street, Fossil, OR 97830 | 2013-04-18 |
1326303900 | Cathy Lee Goldsmith | Counselor | 401 4th Street, Fossil, OR 97830 | 2012-07-10 |
1326219171 | City of Fossil | Ambulance | 401 Main Street, Fossil, OR 97830 | 2008-03-20 |
1801081088 | Michelle Reaan Martin | Registered Nurse | 712 Jay Street, Fossil, OR 97830 | 2007-09-11 |
1760556435 | Deborah Warren Malone | Nurse Practitioner | 712 Jay St, Asher Community Health Center, Fossil, OR 97830 | 2006-11-17 |
1841383825 | Daniel Rex Allen | Physician Assistant | 712 Jay Street, Fossil, OR 97830-0307 | 2006-10-02 |
1811937485 | Asher Community Health Center | Public Health or Welfare | 712 Jay St., Fossil, OR 97830-0307 | 2006-06-08 |
Find all providers in zip 97830 |
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 |
---|---|---|---|---|
1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
1578162145 | Kenneth Branson | Peer Specialist | 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 | 2020-10-23 |
1962000554 | Dawn Marks | Peer Specialist | 21440 Se Stark St, Gresham, OR 97030-2024 | 2020-10-15 |
1679188080 | Michelle Marie Bunkers | Peer Specialist | 20517 Jacklight Ln, Bend, OR 97702-2971 | 2020-09-11 |
1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
1528677820 | Charice Monette | Peer Specialist | 4151 Kacey Cir Ne, Salem, OR 97305-4504 | 2020-07-23 |
1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
1982237236 | Jessica M Montoya | Peer Specialist | 235 Se Knowledge St, Prineville, OR 97754-2362 | 2020-02-14 |
1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
1730711953 | Michael Anthony Duran | Peer Specialist | 1515 Hill St Se, Albany, OR 97322-6715 | 2020-02-05 |
Find all providers with the same taxonomy |
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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.