CONNIE LOUISE JAEGER (NPI# 1487876561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487876561 |
| Entity Type | Individual |
| Full Name | CONNIE LOUISE JAEGER |
| Credential | RN, WHCNP |
| Practice Address |
182 Sw Academy St Ste 302 Dallas OR 97338-1922 |
| Mailing Address |
2101 Perrydale Rd Dallas OR 97338-9359 |
| Practice Telephone | 5036238175 |
| Practice Fax Number | 5038313499 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
000031638N7 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
182 SW ACADEMY ST STE 302 |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841308632 | Alfredo Jose Soto | Psychiatry & Neurology | 182 Sw Academy St, Suite 30, Dallas, OR 97338-1922 | 2006-08-29 |
| 1528669918 | Helen Canchola Martinez | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-11-03 |
| 1013525542 | Zachary Beeler | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-07-21 |
| 1376175398 | Theresa Ann Kollars | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-02-07 |
| 1346883071 | Heather Grandis | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-25 |
| 1154963320 | Tori A Geter | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-09 |
| 1801437231 | Maria Ross | Student in an Organized Health Care Education/Training Program | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-07 |
| 1144871096 | Kayli Peterson | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-09-23 |
| 1174170187 | Mikel-anne Devine | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-23 |
| 1699320440 | Kelli Diane Bennett | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| 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 |
|---|---|---|---|---|
| 1457988461 | Sarah Elizabeth Higgins | Nurse Practitioner | 8060 Park Ln, Dallas, TX 75231-5912 | 2020-03-27 |
| 1285284323 | Barbara E Mauk | Nurse Practitioner | 13516 Waterfall Way, Dallas, TX 75240-5831 | 2019-09-19 |
| 1447720941 | Rlj Visiting Housecalls LLC | Nurse Practitioner | 3603 Creek View Dr, Dallas, TX 75233-1709 | 2018-11-28 |
| 1396295051 | Melody Lin | Nurse Practitioner | 7424 Greenville Ave Ste 206, Dallas, TX 75231-4534 | 2016-10-06 |
| 1467766055 | Courtney Puff Sherman | Nurse Practitioner | 2701 Reagan St, Dallas, TX 75219-3403 | 2010-08-06 |
| 1437486297 | Lydia Vincent Hathorn | Nurse Practitioner | 7012 Wakefield St, Dallas, TX 75231-7306 | 2009-11-14 |
| 1407912009 | Annika J. Evans | Nurse Practitioner | 3600 Gaston Ave Ste 558, Dallas, TX 75246-1905 | 2006-12-28 |
| 1295735637 | Paula V. Reid | Nurse Practitioner | 1936 Amelia Ct, Hiv-aids Clinic, Dallas, TX 75235-7711 | 2005-07-28 |
| 1255331534 | Hoa L. Truong | Nurse Practitioner | 3320 Live Oak St Fl 5, East Dallas Women's Health Center, Dallas, TX 75204-6109 | 2005-07-28 |
| 1598765794 | Joanne Lashmet | Nurse Practitioner | 6303 Harry Hines Blvd Ste 101, Maple Women's Health Center, Dallas, TX 75235-5228 | 2005-07-28 |
| Find all providers in DALLAS | ||||
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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.