KALISTA BIRTH SANCTUARY LLC (NPI# 1508296971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508296971 |
| Entity Type | Organization |
| Organization Name | KALISTA BIRTH SANCTUARY LLC |
| Practice Address |
924 E Jackson St Medford OR 97504 |
| Practice Telephone | 5417790100 |
| Practice Fax Number | 5417790107 |
| Mailing Telephone | 5417790100 |
| Mailing Fax Number | 5417790107 |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |
| Authorized Official Name | DR. WENDY HALE (NATUROPATHIC DOCTOR) |
| Authorized Official Telephone | 5417790100 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | 83-OB | OR | Other Service Providers |
| Y | 175F00000X | Naturopath | 1556 | OR | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KALISTA BIRTH SANCTUARY LLC | 18 Myrtle St, Medford, OR 97504 |
| Street Address |
924 E JACKSON ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871013243 | Dawn Astrid Brock | Massage Therapist | 924 E Jackson St, Medford, OR 97504-7025 | 2017-06-26 |
| 1952859894 | Chenoah Aerie Hartzell-brezina | Massage Therapist | 924 E Jackson St, Medford, OR 97504-7025 | 2016-09-21 |
| 1174915284 | Hilary M Cooper | Doula | 924 E Jackson St, Medford, OR 97504-7025 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871970525 | Sarah Sue Myers | Naturopath | 1840 E Barnett Rd, Suite B, Medford, OR 97504-8293 | 2015-05-01 |
| 1700289626 | Gregory Mcclane Duncan | Naturopath | 1840 E Barnett Rd Ste B, Medford, OR 97504-8293 | 2014-10-06 |
| 1760734677 | Heather Lilly | Naturopath | 1012 E. Jackson St., Medford, OR 97504 | 2012-10-03 |
| 1245503911 | Katie Nicole Guidotti | Naturopath | 2336 Gene Cameron Way, Medford, OR 97504-2120 | 2012-02-10 |
| 1225227002 | Wendy Penelope Green | Naturopath | 18 Myrtle St., Medford, OR 97504 | 2007-10-17 |
| 1982763231 | Cory Sean Tichauer | Naturopath | 1012 E Jackson St, Medford, OR 97504-7027 | 2006-12-06 |
| 1154480408 | Lissa Michelle Mcniel | Naturopath | 3654c S Pacific Hwy, Medford, OR 97501-8922 | 2006-12-06 |
| 1679937312 | Kalista Wellness Center LLC | Naturopath | 18 Myrtle St, Medford, OR 97504-7471 | 2016-04-08 |
| 1295088615 | Angela D. Carlson | Naturopath | 2612 E Barnett Rd, Medford, OR 97504-8344 | 2012-10-23 |
| 1174785869 | Bear Creek Naturopathich Clinic | Naturopath | 1012 E Jackson St, Medford, OR 97504-7027 | 2008-06-25 |
| Find all providers in MEDFORD | ||||
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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.