DEBRA J MINCHOW (NPI# 1609876242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609876242 |
Entity Type | Individual |
Full Name | DEBRA J MINCHOW |
Credential | ADULT/GERIATRIC NP |
Practice Address |
1010 Sw Coast Hwy Ste 201 Newport OR 97365-5240 |
Mailing Address |
3015 Ne West Devils Lake Rd Lincoln City OR 97367-5131 |
Practice Telephone | 5412658816 |
Mailing Telephone | 5419945591 |
Mailing Fax Number | 5419967294 |
Enumeration Date | 2005-07-26 |
Last Update Date | 2016-12-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
200550111NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
200550112NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1010 SW COAST HWY STE 201 |
City | NEWPORT |
State | OR |
Zip Code | 97365-5240 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558891192 | Kelly M Florian | Pharmacist | 1010 Sw Coast Hwy Ste 201, Newport, OR 97365-5240 | 2017-06-15 |
1154737534 | Shawn Marie Fox | Registered Nurse | 1010 Sw Coast Hwy Ste 201, Newport, OR 97365-5240 | 2014-07-07 |
1396904546 | Lindsay Hawkins Lefler | Pediatrics | 1010 Sw Coast Hwy Ste 201, Newport, OR 97365-5240 | 2008-06-03 |
1265612568 | Kristina Marie Uehlin | Physician Assistant | 1010 Sw Coast Hwy Ste 201, Newport, OR 97365-5240 | 2007-11-05 |
1023129913 | Rick N Goldstein | Specialist | 1010 Sw Coast Hwy Ste 201, Newport, OR 97365-5240 | 2006-08-31 |
1235171216 | Susan G Sims | Nurse Practitioner | 1010 Sw Coast Hwy Ste 201, Newport, OR 97365-5240 | 2006-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
Find all providers in zip 97365 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588297972 | Waketta Lashelle Aldridge | Nurse Practitioner | 300 Corrections Dr, Newport, AR 72112-8008 | 2020-02-13 |
1962700773 | Geriatric Health Care Services | Nurse Practitioner | 135 Generation Dr, Newport, TN 37821-8018 | 2011-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558383430 | Nancy A Erb | Nurse Practitioner | 16209 W Hoffeldt Ln, Suite B, Brookings, OR 97415-9470 | 2006-07-23 |
1124058789 | Elizabeth Vonwellsheim | Nurse Practitioner | 382b South 58th Street, Springfield, OR 97478 | 2006-07-03 |
1568419091 | Carolyn Dolores Concia | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2006-05-30 |
1417581315 | Well Spring Health LLC | Nurse Practitioner | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2020-02-28 |
1821647173 | Haley Grace Ruljancich | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2019-09-10 |
1043862550 | Katherine Felicia Edstrom | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-07-15 |
1487216669 | Carolyn D Concia Np Prof Corp | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2019-07-08 |
1811550866 | Elisa Denise Garrett | Nurse Practitioner | 675 N 5th St, Lebanon, OR 97355-2875 | 2019-04-16 |
1255800850 | Peter Woodring | Nurse Practitioner | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2018-11-13 |
1154809903 | Molly Christine Davis | Nurse Practitioner | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2018-08-03 |
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.