MADELEINE ANNE SIMMONS (NPI# 1700067790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700067790 |
| Entity Type | Individual |
| Full Name | MADELEINE ANNE SIMMONS |
| Credential | PMHNP |
| Practice Address |
39 Nw Louisiana Ave Bend OR 97701-3203 |
| Practice Telephone | 5413828862 |
| Practice Fax Number | 5413828928 |
| Mailing Telephone | 5413828862 |
| Mailing Fax Number | 5413828928 |
| Enumeration Date | 2007-11-18 |
| Last Update Date | 2007-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
39 NW LOUISIANA AVE |
| City | BEND |
| State | OR |
| Zip Code | 97701-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922130905 | Lynn D Modjeski | Counselor | 39 Nw Louisiana Ave, Bend, OR 97701-3203 | 2007-03-12 |
| 1861050072 | Healing Roots Counseling, LLC | Counselor | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2019-06-03 |
| 1356823306 | Angela Kay Pyke | Counselor | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2018-09-05 |
| 1902305196 | Keri Lynn Garrison | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2018-02-02 |
| 1477098812 | Lori Ann Carroll | Chiropractor | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2016-12-20 |
| 1508213893 | Kevin R. Pett Phd | Acupuncturist | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2016-05-17 |
| 1386035277 | Sarah Reynolds-jackson | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2015-02-12 |
| 1194123786 | Calley Asbill | Naturopath | 39 Nw Louisiana Ave, Bend, OR 97701 | 2014-12-12 |
| 1245652353 | Matt Lauziere | Specialist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2014-01-08 |
| 1326481383 | Karl Dwight Jackson | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2013-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| 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 |
|---|---|---|---|---|
| 1578934535 | Kimberly Sue Butler | Nurse Practitioner | 339 Sw Century Dr Ste 101, Bend, OR 97702-1199 | 2015-10-15 |
| 1528317898 | Kara Lynn Kelly | Nurse Practitioner | 339 Sw Century Dr, Suite 101, Bend, OR 97702-1198 | 2012-09-02 |
| 1114273711 | Deborah Macwilliams | Nurse Practitioner | 731 Nw Franklin Ave Ste 104, Bend, OR 97703 | 2012-08-01 |
| 1801122668 | Kay Oliver | Nurse Practitioner | 1010 Nw Harriman St, Suite A, Bend, OR 97701-1912 | 2009-10-28 |
| 1699906305 | Kristin Brooks | Nurse Practitioner | 336 Ne Norton Ave. Ste. 3, Bend, OR 97701-3598 | 2009-07-29 |
| 1003071499 | Nicholas J Campo IIi | Nurse Practitioner | 233 Sw Wilson Ave Ste 201, Bend, OR 97702-2988 | 2008-07-24 |
| 1922180777 | Deborah Padgett Coehlo | Nurse Practitioner | 62930 O B Riley Rd Ste 300, Bend, OR 97703-9459 | 2006-10-20 |
| 1033718242 | Hagen Psychiatry LLC | Nurse Practitioner | 2955 N Highway 97 Ste 100, Bend, OR 97703-7559 | 2020-10-19 |
| 1235766510 | Richard Dean Akers | Nurse Practitioner | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2020-03-25 |
| 1952854481 | Kara Kelly, LLC | Nurse Practitioner | 2955 N Hwy 97, Suite 102, Bend, OR 97703-7559 | 2016-08-02 |
| Find all providers in BEND | ||||
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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.