ELAINA S JENSEN (NPI# 1548577307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548577307 |
| Entity Type | Individual |
| Full Name | ELAINA S JENSEN |
| Other Name | ELAINA MONROE |
| Credential | PMHNP, FNP |
| Practice Address |
2385 Table Rock Rd # 103 Medford OR 97501-1510 |
| Mailing Address |
4012 Dominion Cv Austin TX 78759-7357 |
| Practice Telephone | 5127051971 |
| Practice Fax Number | 8446384335 |
| Mailing Telephone | 5127051971 |
| Mailing Fax Number | 8446384335 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 8376 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
201701967NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN00363 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP119327 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201701966NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN00363 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PROVIDER NUMBER | TXB127809 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 E Main St, Medford, OR 975016041 | 5412002900 | |
| 225 Keystone Way, Eagle Point, OR 975249009 | 5129258676 |
| Street Address |
2385 TABLE ROCK RD # 103 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| 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 |
|---|---|---|---|---|
| 1073147716 | Paradigm Mental Health and Wellness LLC | Nurse Practitioner | 724 S Central Ave Ste 101d, Medford, OR 97501-7808 | 2020-03-02 |
| 1952860066 | Mcarthur, Gruff & Associates, LLC Dba Carmen Kosicek, Pmhnp | Nurse Practitioner | 1314b Center Dr Unit 439, Medford, OR 97501-7943 | 2019-03-18 |
| 1811246879 | Deborra M. Torres, Msn, Pmhnp, LLC | Nurse Practitioner | 5 N Main St Ste A, Medford, NJ 08055-2439 | 2012-09-06 |
| 1518013705 | Susan Wrona | Nurse Practitioner | 14 Cottage St, Medford, OR 97504-7332 | 2007-01-28 |
| 1558442061 | Pamela Jean Rivera | Nurse Practitioner | 15 Crater Lake Ave, Medford, OR 97504-7444 | 2006-10-18 |
| 1164538096 | Kevan Joyce Olson | Nurse Practitioner | 255 W Stewart Ave Ste 101, Medford, OR 97501-3600 | 2006-08-22 |
| 1851325252 | Ruth E Koch | Nurse Practitioner | 31 Industrial Boulevard, Yaphank Center, Medford, NY 11763 | 2006-07-10 |
| 1174008536 | Connie Diep | Nurse Practitioner | 26 City Hall Mall, Medford, MA 02155-4754 | 2018-10-01 |
| 1366927220 | Helena Frances Turner | Nurse Practitioner | 900 E Main St, Medford, OR 97504-7136 | 2018-09-26 |
| 1265927974 | Jatoopon Maldonado | Nurse Practitioner | 31 Scouting Blvd, Medford, NY 11763-2220 | 2018-06-25 |
| 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.