MS. MARY ELLEN CARPENTER (NPI# 1699984203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699984203 |
| Entity Type | Individual |
| Full Name | MS. MARY ELLEN CARPENTER |
| Credential | CNM, FNP |
| Practice Address |
1902 Jefferson St Suite 2 Eugene OR 97405-2414 |
| Mailing Address |
Po Box 70368 Suite 2 Springfield OR 97475-0120 |
| Practice Telephone | 5412848882 |
| Practice Fax Number | 5412842826 |
| Mailing Telephone | 5413497600 |
| Mailing Fax Number | 5416868330 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
000030956N1 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679909840 | Mary Louise Vano Carpenter | Speech-Language Pathologist | 1410 Mckay Ave S, Alexandria, MN 56308-5250 | 2013-09-19 |
| 1629694849 | Mary Beth Carpenter | Day Training/Habilitation Specialist | 804 Broad St, Summersville, WV 26651-1796 | 2020-06-23 |
| 1467071670 | Mary Hannah Carpenter | Pharmacist | 1120 15th St, Augusta, GA 30912-0004 | 2020-04-09 |
| 1497309710 | Mary Carpenter | Counselor | 3 Blackburn Ctr, Gloucester, MA 01930-2268 | 2019-07-25 |
| 1194078329 | Mary Catherine Carpenter | Registered Nurse | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2012-10-25 |
| 1427179373 | Mary Lynne Carpenter | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2007-04-02 |
| 1477693547 | Mary Jo Carpenter | Pharmacist | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-02-07 |
| 1003954587 | Mary Theresa Carpenter | Counselor | 250 Commercial St, Worcester, MA 01608-1726 | 2007-02-05 |
| 1861546723 | Mary Lou Carpenter | Physical Therapist | 23441 Madison St, Suite 330, Building 8, Torrance, CA 90505-4725 | 2007-01-22 |
| 1649358680 | Mary B Carpenter | Social Worker | 5384 Poplar Ave, Ste 105, Memphis, TN 38119 | 2006-11-01 |
| Street Address |
1902 JEFFERSON ST SUITE 2 |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104906981 | Debra Susan Blaker | Nurse Practitioner | 1902 Jefferson St, Suite 2, Eugene, OR 97405-2414 | 2006-10-16 |
| 1689020372 | Alive Integrative Medicine, LLC | Massage Therapist | 1902 Jefferson St, Suite 1, Eugene, OR 97405-2414 | 2016-05-11 |
| 1053614040 | Chiropractic Pain & Prevention Center P.C. | Clinic/Center | 1902 Jefferson St, Ste 1, Eugene, OR 97405-2485 | 2010-12-13 |
| 1831378025 | Blaker Enterprises Inc | Nurse Practitioner | 1902 Jefferson St, Suite 2, Eugene, OR 97405-2414 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1437605813 | Kari Rocco | Nurse Practitioner | 98 E 11th Ave, Eugene, OR 97401-3538 | 2016-08-26 |
| 1295092765 | Betty J Hamill | Nurse Practitioner | 151 W 7th Ave Ste 520, Eugene, OR 97401-2676 | 2012-04-20 |
| 1801164926 | Alba Schultz | Nurse Practitioner | 2846 Willamette St, Eugene, OR 97405 | 2011-12-03 |
| 1144461682 | Diana Lea Lamboy | Nurse Practitioner | 67 W 29th Ave, Eugene, OR 97405-3242 | 2009-03-12 |
| 1295856532 | Harry Ernest Vandervort IIi | Nurse Practitioner | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2007-04-03 |
| 1790843142 | Ruth Alicia Duffield | Nurse Practitioner | 360 S Garden Way Ste 210, Eugene, OR 97401-8186 | 2006-12-05 |
| 1528134681 | Patricia Anne Wyss | Nurse Practitioner | 3579 Franklin Boulevard, Eugene, OR 97403 | 2006-11-28 |
| 1104906981 | Debra Susan Blaker | Nurse Practitioner | 1902 Jefferson St, Suite 2, Eugene, OR 97405-2414 | 2006-10-16 |
| Find all providers in EUGENE | ||||
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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.