JAYME LYNN PETTIBONE (NPI# 1700423878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700423878 |
| Entity Type | Individual |
| Full Name | JAYME LYNN PETTIBONE |
| Practice Address |
68982 Willow Creek Rd Heppner OR 97836-6258 |
| Mailing Address |
Po Box 536 Heppner OR 97836-0536 |
| Practice Telephone | 5416765125 |
| Mailing Telephone | 5416765125 |
| Mailing Fax Number | 5416765189 |
| Enumeration Date | 2019-12-07 |
| Last Update Date | 2019-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
68982 WILLOW CREEK RD |
| City | HEPPNER |
| State | OR |
| Zip Code | 97836-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528321619 | Ashley Reeser | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2012-06-22 |
| 1508405572 | Skylynn Sue Wolford | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2019-12-23 |
| 1972140416 | Dakota Cheyenne Rice | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2019-12-03 |
| 1063059590 | Heidi Marie Turrell | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2019-12-03 |
| 1295292423 | Brooke Marie Sweeney | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2019-02-24 |
| 1871952929 | Ashley Collette | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2016-02-17 |
| 1578959854 | Community Counseling Solutions | Community/Behavioral Health | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2015-04-13 |
| 1033512314 | Shannon Hill | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2014-10-01 |
| 1497169106 | Alita Nelson | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2014-06-20 |
| 1679902373 | Sarah Good | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2013-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326623 | Elizabeth Ann Courtney | Counselor | 550 W. Sperry St., Heppner, OR 97836 | 2020-05-05 |
| 1861025454 | Riley Elaine Beagle | Specialist/Technologist | 285 Nw Baltimore, Heppner, OR 97836 | 2020-02-21 |
| 1306407135 | Olivia Jean Steffey | Counselor | 104 Sw Kinkade Ave, Boardman, OR 97836 | 2019-06-24 |
| 1083179527 | Zaira Sanchez | Counselor | 104 Sw Kinkade Avenue, Boardman, OR 97836 | 2019-02-08 |
| 1053885798 | Paul Daniel Bane Jr. | Counselor | 550 W Sperry St., Heppner, OR 97836 | 2019-01-16 |
| 1225402449 | Laurie B Fieldman | Social Worker | 550 W Sperry St, Heppner, OR 97836 | 2015-11-27 |
| 1053749630 | Kasandra Kennedy | Counselor | 550 W. Sperry Street, Heppner, OR 97836 | 2013-10-17 |
| 1548561566 | Community Counseling Solutions | Respite Care | 68982 Willow Creek Drive, Heppner, OR 97836 | 2010-11-08 |
| 1073746541 | Shelley K Mccabe | Physical Therapist | 130 Ne Thompson Avenue, Heppner, OR 97836 | 2009-08-31 |
| 1588807689 | Gayle Hamann Johnston | General Practice | 564 E Pioneer Drive, Heppner, OR 97836 | 2009-04-20 |
| Find all providers in zip 97836 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326623 | Elizabeth Ann Courtney | Counselor | 550 W. Sperry St., Heppner, OR 97836 | 2020-05-05 |
| 1053749630 | Kasandra Kennedy | Counselor | 550 W. Sperry Street, Heppner, OR 97836 | 2013-10-17 |
| 1528321619 | Ashley Reeser | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2012-06-22 |
| 1508405572 | Skylynn Sue Wolford | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2019-12-23 |
| 1972140416 | Dakota Cheyenne Rice | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2019-12-03 |
| 1063059590 | Heidi Marie Turrell | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2019-12-03 |
| 1689216947 | Kaitlynn Kay Dyer | Counselor | 550 W Sperry St, Heppner, OR 97836 | 2019-10-08 |
| 1578123998 | Christopher George Humphreys | Counselor | 550 W Sperry St, Heppner, OR 97836 | 2019-06-18 |
| 1295292423 | Brooke Marie Sweeney | Counselor | 68982 Willow Creek Rd, Heppner, OR 97836-6258 | 2019-02-24 |
| 1326596115 | Andrea Garcilazo | Counselor | 120 S Main St, Heppner, OR 97836-2033 | 2016-09-21 |
| Find all providers in HEPPNER | ||||
Please comment or provide details below to improve the information on JAYME LYNN PETTIBONE.
| 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.