JODI MICHELLE BOSTWICK (NPI# 1649821216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649821216 |
| Entity Type | Individual |
| Full Name | JODI MICHELLE BOSTWICK |
| Credential | PMHNP |
| Practice Address |
1701 Nw Hawthorne Ave Grants Pass OR 97526-1051 |
| Practice Telephone | 5414713455 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201908557NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25647 Redwood Hwy, Cave Junction, OR 975239332 | 5415924111 |
| Street Address |
1701 NW HAWTHORNE AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272285 | Kristin Miller | Family Medicine | 1701 Nw Hawthorne Ave, Suite 201, Grants Pass, OR 97526-1257 | 2005-08-19 |
| 1245846922 | Allison Mae Swanson | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2020-09-18 |
| 1063998730 | Donald Ray Draper | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 | 2018-07-16 |
| 1427563337 | Andrew Martin | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2017-12-14 |
| 1528581550 | Lauren Smith | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2017-07-21 |
| 1063958924 | Amy Tripp | Dental Hygienist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2017-01-16 |
| 1619428208 | Christopher Robert Cielinski | Physician Assistant | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2016-10-18 |
| 1275081184 | Paloma Sita Kolkow | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-09-20 |
| 1780034629 | Devin Nelson | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-06-21 |
| 1881049658 | Siskiyou Community Health Center Pharmacy | Pharmacy | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| 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 |
|---|---|---|---|---|
| 1629499504 | Jennifer Upcraft | Nurse Practitioner | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2013-12-19 |
| 1609937283 | Gabriella Amarei | Nurse Practitioner | 714 Nw 5th St, Grants Pass, OR 97526-1529 | 2006-12-13 |
| 1700998242 | Susan J. Bausserman | Nurse Practitioner | 1181 Ramsey Ave, Grants Pass, OR 97527-5821 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1629687892 | Robin Sue Finney | Nurse Practitioner | 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 | 2020-07-23 |
| 1518584457 | Akhena Health & Wellness LLC | Nurse Practitioner | 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 | 2020-06-26 |
| 1447871678 | Monarch Mental Health LLC | Nurse Practitioner | 1927 Channel St, North Bend, OR 97459-1826 | 2020-04-28 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1366071607 | Med Rx Partners, P.C. | Nurse Practitioner | 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 | 2020-04-08 |
| 1417583170 | Brittany Joy Monson | Nurse Practitioner | 12115 Sw 70th Ave, Tigard, OR 97223-9647 | 2020-03-13 |
| 1073147716 | Paradigm Mental Health and Wellness LLC | Nurse Practitioner | 724 S Central Ave Ste 101d, Medford, OR 97501-7808 | 2020-03-02 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
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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.