CAROLE BEKKENHUIS-JOHNSON (NPI# 1528176377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528176377 |
| Entity Type | Organization |
| Organization Name | CAROLE BEKKENHUIS-JOHNSON |
| Other Organization Name | CAROLE BEKKENHUIS-JOHNSON PMHNP LLC |
| Practice Address |
3225 Williamette St Suite 3 Eugene OR 97405 |
| Practice Telephone | 5416844700 |
| Practice Fax Number | 5416844700 |
| Mailing Telephone | 5416844700 |
| Mailing Fax Number | 5416844700 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | CAROLE BEKKENHUIS-JOHNSON (OWNER) |
| Authorized Official Telephone | 5416844700 |
| Authorized Official Credential | PMHNP LLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
092006533N6PMHNP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | FEDERAL | DEAMB0122375 | 01 |
| Other Name | Type Code |
|---|---|
| Carole Bekkenhuis-Johnson PMHNP LLC | Doing Business As Name - Organization |
| Street Address |
3225 WILLIAMETTE ST SUITE 3 |
| City | EUGENE |
| State | OR |
| Zip Code | 97405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972021707 | Virginia Dimitre | Nurse Practitioner | Betts Psychiatric, 911 Country Club Rd., Suite 340, Eugene, OR 97401-6044 | 2017-08-31 |
| 1992011266 | Amanda M Lies | Nurse Practitioner | 541 Willamette St Ste 208b, Eugene, OR 97401-2615 | 2010-08-25 |
| 1174604276 | Peter Lewis Schnabel | Nurse Practitioner | 2411 Martin Luther King Blvd, Eugene, OR 97401 | 2006-10-17 |
| 1922101807 | Cara Lynn Chapman | Nurse Practitioner | 401 E 10th Ave, Suite 330, Eugene, OR 97401-3317 | 2006-09-06 |
| 1144261207 | Bonny Jo Barr | Nurse Practitioner | 2411 Mlk Jr Blvd, Eugene, OR 97401-5824 | 2006-06-09 |
| 1487638201 | Amber R Benson | Nurse Practitioner | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2005-12-05 |
| 1528610177 | Cory Hoover | Nurse Practitioner | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2019-07-14 |
| 1619534146 | Mary Cameron Leyda | Nurse Practitioner | 195 W 12th Ave, Eugene, OR 97401-3408 | 2019-05-21 |
| 1841767340 | Todd Elliot Styles | Nurse Practitioner | 2145 Centennial Plz, Eugene, OR 97401-2474 | 2018-11-01 |
| 1447747977 | Christopher J Worlton | Nurse Practitioner | 911 Country Club Rd Ste 390, Eugene, OR 97401-1302 | 2018-04-19 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on CAROLE BEKKENHUIS-JOHNSON.
| 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.