TREVOR FERO (NPI# 1770033318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770033318 |
Entity Type | Individual |
Full Name | TREVOR FERO |
Practice Address |
348 W Adams St Burns OR 97720-1710 |
Practice Telephone | 5415738376 |
Mailing Telephone | 5415738376 |
Enumeration Date | 2016-10-06 |
Last Update Date | 2016-11-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | THW1399 | 05 |
Street Address |
348 W ADAMS ST |
City | BURNS |
State | OR |
Zip Code | 97720-1710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205967288 | Carol L Adams | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2007-03-08 |
1144862640 | Angela Beth Temple | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2019-10-16 |
1669020400 | Maggie Thompson | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2019-08-26 |
1356905913 | Beth Galadriel Diamond | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2019-04-29 |
1306400965 | Amber Leigh Wares | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2019-04-29 |
1609330208 | Deanna Dawn Thrall | Community Health Worker | 348 W Adams St, Burns, OR 97720-1710 | 2019-01-28 |
1437629789 | Ryan Gunderson | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2018-11-29 |
1205301959 | Michole Thane | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2018-10-09 |
1720563513 | Edward Roy Moulton | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2018-09-27 |
1225524325 | Mary Hayes | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2018-07-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407489388 | Courtney Colleen Mcmullen | Speech-Language Pathologist | 860 N. Court Ave, Burns, OR 97720 | 2020-02-19 |
1194900399 | Arntz Medical | Nursing Facility/Intermediate Care Facility | 229 N Egan, Burns, OR 97720 | 2008-01-07 |
1831231414 | County of Harney | Preventive Medicine | 420 N. Fairview, Burns, OR 97720 | 2007-02-12 |
1902956006 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-11 |
1497747745 | Ladd Shaner | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2005-08-22 |
1700448032 | Allegiant Integrative Medicine | General Practice | 229 N Egan Ave, Burns, OR 97720 | 2019-07-08 |
1386008696 | Brittnee Zmuda | Student in an Organized Health Care Education/Training Program | 5005 N Piedras Street, El Paso, TX 97720 | 2016-04-12 |
1689812620 | County of Harney | Public Health or Welfare | 420 N. Fairview, Burns, OR 97720 | 2009-01-29 |
1912112293 | Richard Thein | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2007-05-11 |
1124178868 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-12 |
Find all providers in zip 97720 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356905913 | Beth Galadriel Diamond | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2019-04-29 |
1306400965 | Amber Leigh Wares | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2019-04-29 |
1225524325 | Mary Hayes | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2018-07-02 |
1194226860 | Stephine Barteni | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2018-02-27 |
1306295324 | Heather Berry | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2016-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
1578162145 | Kenneth Branson | Peer Specialist | 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 | 2020-10-23 |
1962000554 | Dawn Marks | Peer Specialist | 21440 Se Stark St, Gresham, OR 97030-2024 | 2020-10-15 |
1679188080 | Michelle Marie Bunkers | Peer Specialist | 20517 Jacklight Ln, Bend, OR 97702-2971 | 2020-09-11 |
1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
1528677820 | Charice Monette | Peer Specialist | 4151 Kacey Cir Ne, Salem, OR 97305-4504 | 2020-07-23 |
1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
1982237236 | Jessica M Montoya | Peer Specialist | 235 Se Knowledge St, Prineville, OR 97754-2362 | 2020-02-14 |
1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
1730711953 | Michael Anthony Duran | Peer Specialist | 1515 Hill St Se, Albany, OR 97322-6715 | 2020-02-05 |
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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.