EILEEN M TABERT


Address: 544 W Umpqua St, Roseburg, OR 97470
Phone: 5416729596

EILEEN M TABERT (NPI# 1588750228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588750228
Entity Type Individual
Full Name EILEEN M TABERT
Credential FNP
Practice Address 544 W Umpqua St
Roseburg
OR 97470
Practice Telephone 5416729596
Practice Fax Number 5414643519
Mailing Telephone 5416729596
Mailing Fax Number 5414643519
Enumeration Date 2006-10-04
Last Update Date 2008-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 168395 05
MEDICARE PART B R03163 01

Office Location

Street Address 544 W UMPQUA ST
City ROSEBURG
State OR
Zip Code 97470

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184806382 Loretta J. Amitrano Nurse Practitioner 544 W Umpqua St, Suite 101, Roseburg, OR 97471 2007-11-29
1518053305 Joel R Daven Md PC Psychiatry & Neurology 544 W Umpqua St, Suite 202, Roseburg, OR 97470-2966 2006-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326547134 Thoughtwork, LLC Social Worker 178 Nw Garden Valley Blvd, Roseburg, OR 97470 2018-02-07
1063932960 Go Mo, LLC Durable Medical Equipment & Medical Supplies 627 Se Jackson St, Roseburg, OR 97470 2017-06-21
1497123335 Brandi N Hamilton Counselor 215 S.e. Jackson, Roseburg, OR 97470 2015-09-09
1285031203 Aric Fromdahl Counselor 215 Se Jackson, Roseburg, OR 97470 2014-11-20
1801292438 Robin Knebel Counselor 215 Se Jackson St., Roseburg, OR 97470 2014-11-10
1700282415 Samantha Marie Shelley Counselor 215 Se Jackson Street, Roseburg, OR 97470 2014-11-06
1043610660 Cynthia Simmons Counselor 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 2014-09-02
1083025431 Toni Damewood Msn Pmhnp-bc Nurse Practitioner 770 Se Kane Street, Roseburg, OR 97470 2014-05-19
1801226196 Denise Ingeman Registered Nurse 1548 South East Pine Street, Roseburg, OR 97470 2013-11-22
1356606909 Carla Junette Rambel Massage Therapist 566 S.e. Jackson, Roseburg, OR 97470 2012-07-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275194359 Jennifer Ann Frost Nurse Practitioner 3369 Ne Stephens St # A, Roseburg, OR 97470-1200 2019-06-27
1730631375 Alicia Denning Morrison Nurse Practitioner 2510 Nw Edenbower Blvd., Suite 152, Roseburg, OR 97471-8899 2016-10-31
1114337698 Morgan Michelle Petersen Nurse Practitioner 427 W Carroll Ct, Roseburg, OR 97471-2368 2014-05-05
1689001000 Forest Wayne Shira Nurse Practitioner 1863 Ne Freemont Ave, Roseburg, OR 97470-3535 2013-09-30
1700180098 Rebekah Anna Syverson Nurse Practitioner 1318 Cattle Dr, Roseburg, OR 97470 2010-12-31
1609070531 Wendy Zyzniewski Nurse Practitioner 201 Nw Medical Loop Ste 170, Roseburg, OR 97471-8835 2007-06-13
1093741449 Mary E. Orians Nurse Practitioner 272 Nw Medical Loop Ste B, Roseburg, OR 97471-5545 2006-06-25
1255327151 Janus Maybee Nurse Practitioner 1404 Se Mill St, Roseburg, OR 97470-4008 2005-09-26
1598301582 James William Southam Nurse Practitioner 1740 Nw Goetz St, Roseburg, OR 97471-1613 2019-11-25
1790243988 Michelle Noelle Phelps Nurse Practitioner 1700 Nw Garden Valley Blvd Ste 201, Roseburg, OR 97471-1636 2019-03-06
Find all providers in ROSEBURG

Competitor

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City ROSEBURG
Zip Code 97470

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Dataset Information

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.

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