JENNIFER PENFIELD NELSON (NPI# 1518973015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518973015 |
| Entity Type | Individual |
| Full Name | JENNIFER PENFIELD NELSON |
| Other Name | JENNIFER ANNE PENFIELD |
| Credential | P.A. |
| Practice Address |
2111 Ne 25th Ave Intel Health for Life Center Ms:jf-167 Hillsboro OR 97124 |
| Mailing Address |
1945 Ne Jamie Dr. Hillsboro OR 97124 |
| Practice Telephone | 5032648315 |
| Practice Fax Number | 5032640559 |
| Mailing Telephone | 5036799460 |
| Mailing Fax Number | 9713274356 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA00813 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
00813 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500617236 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907653 | Jennifer Marie Nelson | Massage Therapist | 4295 10th St, Riverside, CA 92501-3111 | 2020-09-17 |
| 1265045645 | Jennifer Crystal Nelson | Social Worker | 2269 Cheshire Dr, Birmingham, AL 35235-3313 | 2020-08-26 |
| 1518505064 | Jennifer Nelson | Nurse Practitioner | 7725 W Burleigh St, Milwaukee, WI 53222-5003 | 2019-12-16 |
| 1952946402 | Jennifer Marie Nelson | Doula | 15555 Old Stagecoach Rd, Walton, OR 97490-9713 | 2019-11-07 |
| 1659926897 | Jennifer L Nelson | Technician | 514 Driftwood Point Rd, Santa Rosa Beach, FL 32459-3020 | 2019-08-05 |
| 1871031591 | Jennifer Nelson | Counselor | 1200 S York St Ste 3250, Elmhurst, IL 60126-5629 | 2017-02-01 |
| 1396196796 | Jennifer Nelson | Chiropractor | 925a 41st Ave, Santa Cruz, CA 95062-4456 | 2016-06-27 |
| 1346604691 | Jennifer Nelson | Respite Care | 515 Fox Run Cir, Colorado Springs, CO 80921-3032 | 2016-04-12 |
| 1417325531 | Jennifer Ashley Nelson | Physical Therapist | 1186 Fischer Blvd, Toms River, NJ 08753-3063 | 2015-09-05 |
| 1245615194 | Jennifer Nelson | Nurse Practitioner | 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866 | 2015-07-21 |
| Street Address |
2111 NE 25TH AVE INTEL HEALTH FOR LIFE CENTER MS:JF-167 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
| 1083223200 | Samantha Mueller | Physician Assistant | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2020-07-23 |
| 1043793581 | Caitlyn Erickson | Physician Assistant | 545 Se Oak St Ste F, Hillsboro, OR 97123-4147 | 2018-09-11 |
| 1881106136 | Megan Caroline Margeson | Physician Assistant | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2017-10-26 |
| 1538618285 | Ashley Elizabeth Scaglione | Physician Assistant | 10279 Business 21, Hillsboro, MO 63050-3598 | 2016-09-22 |
| 1427455765 | Erin Ann Carey | Physician Assistant | 19075 Nw Tanasbourne Dr, Suite #200, Hillsboro, OR 97124-5860 | 2014-12-02 |
| 1144626953 | Nell Thyrza Rafalovich | Physician Assistant | 955 Se Baseline St, Hillsboro, OR 97123-4207 | 2014-11-06 |
| 1013311497 | Joel Horst | Physician Assistant | 5295 Ne Elam Young Pkwy, Suite 180, Hillsboro, OR 97124-7567 | 2014-10-14 |
| 1750782157 | Joseph Benjamin Wills | Physician Assistant | 19075 Nw Tanasbourne Dr, Suite 200, Hillsboro, OR 97124-5860 | 2014-09-05 |
| 1235578626 | Kimberly Fordney | Physician Assistant | 6244 Ne Brighton St, Hillsboro, OR 97124-5076 | 2013-06-18 |
| Find all providers in HILLSBORO | ||||
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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.