TERESA ANN RENNICK


Address: 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730
Phone: 5418827291

TERESA ANN RENNICK (NPI# 1487860383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487860383
Entity Type Individual
Full Name TERESA ANN RENNICK
Credential PMHNP
Practice Address 3314 Vandenberg Rd
Klamath Falls
OR 97603-3730
Practice Telephone 5418827291
Practice Fax Number 5418834213
Mailing Telephone 5418827291
Mailing Fax Number 5418834213
Enumeration Date 2007-05-15
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
OOO32868 OK Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 100315 05

Office Location

Street Address 3314 VANDENBERG RD
City KLAMATH FALLS
State OR
Zip Code 97603-3730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659355865 Klamath Behavorial Health and Wellness Counselor 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2005-12-01
1710223581 Kimberly Peats Counselor 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2012-12-21
1215201207 Stephanie Susan Machado Counselor 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2012-03-08
1467732990 Paige Kathleen Crozier Nurse Practitioner 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2011-08-29
1952606469 Dan Walter Jerden Community Health Worker 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2011-01-13
1487955928 Laurence Fredrick Pigott Community Health Worker 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2010-11-16
1376844217 Kathryn Miriam Schlafer Case Manager/Care Coordinator 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2010-11-09
1285935221 Brenda Karen Haskins Case Manager/Care Coordinator 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2010-11-08
1811298870 Gregory Allen Lara Jr. Community Health Worker 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2010-11-08
1588965578 Peter Mueller Community Health Worker 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2010-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790323699 Mike Hampson Counselor 3203 Vandenberg Road, Klamath Falls, OR 97603 2019-12-11
1356858369 Scott Richardson Community Based Residential Treatment Facility, Mental Illness 3934 Rio Vista Way, Klamath Falls, OR 97603 2017-12-29
1720518392 Maile Kalus Counselor 3647 Or-39, Klamath Falls, OR 97603 2017-06-15
1174067201 Amber Wu Audiologist 4036 S 6th St Ste 3, Klamath Falls, OR 97603 2016-12-08
1568870681 Nathan William Bailey Dentist 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 2014-08-01
1376987784 Janice Marie Heiney Denturist 2607 Crosby Ave, Klamath Falls, OR 97603 2013-04-29
1083958011 John W Cooper Denturist 3949 Shasta Way, Klamath Falls, OR 97603 2012-11-15
1205137742 Robert Knight Community Health Worker 3314 Vandenburg Rd., Klamath Falls, OR 97603 2010-11-16
1841526431 Tim R Jones Counselor 3949 South 6th St, Klamath Falls, OR 97603 2009-11-02
1316135833 Ernest Thompson O'neal Emergency Medicine 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 2007-10-10
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578712568 Linda L Callahan Nurse Practitioner 409 Pine St Ste 200, Klamath Falls, OR 97601-6020 2008-09-15
1134644909 Rance Alan Smith Nurse Practitioner 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 2017-08-13
1467732990 Paige Kathleen Crozier Nurse Practitioner 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 2011-08-29
1003086927 Barbara G Enos Nurse Practitioner 2650 Washburn Way, Suite 180, Klamath Falls, OR 97603-4596 2008-03-06
1952592834 John A Longeway Nurse Practitioner 905 Main St, Suite 615, Klamath Falls, OR 97601-5810 2007-08-06
1942333091 Gary Earl Daniels Nurse Practitioner 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 2007-03-14
1740379171 Russell Stephen Shapiro Nurse Practitioner 501 Main St, Suite 208, Klamath Falls, OR 97601-6049 2006-10-12
1184634743 Julie J Ryder Nurse Practitioner 409 Pine St, Suite 200, Klamath Falls, OR 97601-6020 2006-08-08
1346235066 Cheryle-may Ramirez Nurse Practitioner 905 Main St, Suite 615, Klamath Falls, OR 97601-5810 2005-09-19

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1629687892 Robin Sue Finney Nurse Practitioner 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 2020-07-23
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1447871678 Monarch Mental Health LLC Nurse Practitioner 1927 Channel St, North Bend, OR 97459-1826 2020-04-28
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
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Competitor

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City KLAMATH FALLS
Zip Code 97603

Improve Information

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Dataset Information

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.

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