JERALD WILLIAM DRISKELL (NPI# 1578766861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578766861 |
| Entity Type | Individual |
| Full Name | JERALD WILLIAM DRISKELL |
| Credential | R.N., FNP-C |
| Practice Address |
2850 Se Powell Valley Rd Gresham OR 97080 |
| Mailing Address |
Po Box 3777 Portland OR 97208 |
| Practice Telephone | 5036665050 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 200740644RN | OR | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 509631 | TX | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 200750068NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 509631 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2850 SE POWELL VALLEY RD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898149 | Kimberly Pohlman | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2005-11-15 |
| 1215582861 | Joshua Gardner Snow | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2019-08-08 |
| 1134609043 | Jennifer Stephens | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2018-08-20 |
| 1114407301 | Crystal Luna | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2018-08-16 |
| 1295248003 | Alexandra Marie Sigmon | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2017-11-15 |
| 1427584077 | Margeaux Danielle Schmerler | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2017-05-02 |
| 1841737889 | Zubaida Abdulai | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2017-01-29 |
| 1154872638 | Theresa Rene Jones | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2016-10-19 |
| 1225481906 | Maci Pfaffenberger | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2016-07-19 |
| 1174997423 | Valleyview Injury & Physical Medicine, PC | Neuromusculoskeletal Medicine & OMM | 2850 Se Powell Valley Rd, Suite 205, Gresham, OR 97080-1494 | 2015-11-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043274434 | Marilyn S Merritt | Nurse Practitioner | 831 Nw Council Dr Ste 145, Gresham, OR 97030-3795 | 2006-04-13 |
| 1053813741 | Elana Underwood Scharff | Nurse Practitioner | 25050 Se Stark St Ste 265, Gresham, OR 97030 | 2018-03-08 |
| 1841737889 | Zubaida Abdulai | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2017-01-29 |
| 1396053575 | Daniel Thomas Matthew Salter | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2010-09-21 |
| 1144547308 | Heike K. Huchler | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2010-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628417 | Biohax | Nurse Practitioner | 17933 Nw Evergreen Pkwy Ste 285, Beaverton, OR 97006-7661 | 2020-10-27 |
| 1932708526 | Rebecca Ann Mickel | Nurse Practitioner | 22244 Sw Nottingham Ct, Sherwood, OR 97140-9816 | 2020-10-23 |
| 1184221780 | Catherine Slade | Nurse Practitioner | 3640 Nw Samaritan Dr # 100, Corvallis, OR 97330-3784 | 2020-10-06 |
| 1689280620 | Danna Rae Morgan | Nurse Practitioner | 539 N Barneburg Rd, Medford, OR 97504-6678 | 2020-09-16 |
| 1740800283 | Digital Clinic LLC | Nurse Practitioner | 30 E 33rd Ave Unit 5822, Eugene, OR 97405-0819 | 2020-04-24 |
| 1356977144 | Maria Elena Rivera | Nurse Practitioner | 1801 Highway 99 N Ste B, Ashland, OR 97520-9152 | 2020-03-12 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1073097242 | Shirley Deveere Reynolds | Nurse Practitioner | 998 Inlet Loop, Coos Bay, OR 97420-4446 | 2018-09-24 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1497249007 | Kansys Clouse | Nurse Practitioner | 1639 Se Ensign Ln # B103, Warrenton, OR 97146-7308 | 2018-06-18 |
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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.