SHAY DEAN LOVE (NPI# 1538766829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538766829 |
Entity Type | Individual |
Full Name | SHAY DEAN LOVE |
Credential | NCMA |
Practice Address |
4077 Sw Research Way Corvallis OR 97333-1065 |
Mailing Address |
1420 Meadowlark Ln Sweet Home OR 97386-1310 |
Practice Telephone | 5417666190 |
Practice Fax Number | 5417666164 |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | NCCT | 962516 | 01 |
Street Address |
4077 SW RESEARCH WAY |
City | CORVALLIS |
State | OR |
Zip Code | 97333-1065 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730598038 | Benton County | Clinic/Center | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2014-08-12 |
1003393976 | Blue Elizabeth Valentine | Community Health Worker | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2018-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
Find all providers in zip 97333 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841813896 | Tonya Davenport | Technician | 530 Nw 27th St, Corvallis, OR 97330-5298 | 2020-05-26 |
1902435761 | Lisa A Cuevas | Technician | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2020-04-03 |
1306484357 | Ruth Alyssa Duran | Technician | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2019-12-19 |
1619510062 | Kayla M Simmons | Technician | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2019-10-17 |
1376107417 | Kaitlan L Webber | Technician | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2019-04-24 |
1265995534 | Ana Lara | Technician | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2019-04-12 |
1083177885 | Jessica D Wahl | Technician | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2019-04-09 |
1033681622 | Katelyn R Steiner | Technician | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2018-12-20 |
1689149114 | Heather M Hyder | Technician | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2018-10-11 |
1235647140 | Madison Kasten | Technician | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2018-01-12 |
Find all providers in CORVALLIS |
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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.