BARBERA HERZOG-TAFT (NPI# 1538228895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538228895 |
| Entity Type | Individual |
| Full Name | BARBERA HERZOG-TAFT |
| Credential | NNP |
| Practice Address |
2825 E Barnett Rd Medford OR 97504-8332 |
| Mailing Address |
100 E. Main Street Suite C Medford OR 97501 |
| Practice Telephone | 5417897000 |
| Mailing Telephone | 5417897000 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
000042067N9 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 275448 | 05 |
| Street Address |
2825 E BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587107 | Asante | General Acute Care Hospital | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2005-06-13 |
| 1497352975 | Angela Kim | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2020-10-07 |
| 1093330235 | James Allen Garcia | Registered Nurse | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2020-06-13 |
| 1386283166 | Ruthie Nguyen | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-12-27 |
| 1235772401 | Michael Lanning | Pharmacy | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-10-21 |
| 1487295994 | Nicole Mehl | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-10-06 |
| 1073154191 | Therese Marguerite Wavrin | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-09-30 |
| 1063063311 | Kirsten Laity | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-09-26 |
| 1790336568 | Shane Vanhandel | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-09-24 |
| 1861043663 | Rebecca Ann Kimmel | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-09-23 |
| Find all providers in the same location | ||||
| 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 | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578622494 | Tracy K Ritchie | Nurse Practitioner | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686504 | Amanda L Swinehart | Nurse Practitioner | 5299 Lakeview Blvd, Lake Oswego, OR 97035-5464 | 2015-08-19 |
| 1093836934 | Dawn Mary Allen | Nurse Practitioner | 17079 Cherry Crest Ave, Lake Oswego, OR 97034-5946 | 2007-04-02 |
| 1023675022 | Megan Rochelle Tinling | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-05-24 |
| 1568892941 | Amy R. Snyder | Nurse Practitioner | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2013-11-20 |
| 1104177989 | Marissa Christine Macedo | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-09-20 |
| 1932470366 | Deanna Dykema | Nurse Practitioner | 707 Sw Gaines St, Cdrcp, Portland, OR 97239-2901 | 2012-01-17 |
| 1821397563 | Sherry Colleen Johnson | Nurse Practitioner | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2011-03-21 |
| 1972816593 | Kacy Lee Bradshaw | Nurse Practitioner | 939 Oak St Se, Salem, OR 97301-3901 | 2010-07-24 |
| 1992935548 | Ann M Nye | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Dncc, Portland, OR 97239-3011 | 2009-07-16 |
| 1235397852 | Cindy Davis | Nurse Practitioner | 939 Oak St Se, Salem, OR 97301 | 2008-05-30 |
| Find all providers with the same taxonomy | ||||
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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.