SHIRLEY JEAN MIDDLESTETTER (NPI# 1790146090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790146090 |
| Entity Type | Individual |
| Full Name | SHIRLEY JEAN MIDDLESTETTER |
| Credential | RN |
| Practice Address |
90650 Nadeau Rd Springfield OR 97478-8713 |
| Practice Telephone | 5419148901 |
| Practice Fax Number | 5417469363 |
| Mailing Telephone | 5419148901 |
| Mailing Fax Number | 5417469363 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
000032064RN | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 163WC1500X | 05 |
| Street Address |
90650 NADEAU RD |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97478-8713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1831691310 | Michael Ryan Odle | Psychologist | 36716 Oak Point Rd, Springfield, OR 97478 | 2018-03-01 |
| 1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
| 1639529258 | Nate John Sutherland | Behavioral Analyst | 37770 Upper Creek Road, Springfield, OR 97478 | 2016-06-14 |
| 1457760134 | Leah Rybolt | Physical Therapist | 145 South 52nd Place, Springfield, OR 97478 | 2014-08-07 |
| 1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
| 1245589753 | Sarah M Boothe | Doula | 870 S 46th St, Springfield, OR 97478 | 2012-08-30 |
| 1902155401 | Dani Maree Hill | Pharmacist | 5744 Main Street, Springfield, OR 97478 | 2012-08-30 |
| 1295005312 | Express Services Unlimited, Inc. | Non-emergency Medical Transport (VAN) | 37506 Hills Creek Road, Springfield, OR 97478 | 2012-01-05 |
| 1255524468 | Leeann D Fields | Licensed Practical Nurse | 3318 Lakeview Dr, Eugene, OR 97478 | 2007-08-21 |
| Find all providers in zip 97478 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149482 | Kendra Dee Falk | Registered Nurse | 2152 Lomond Ave, Springfield, OR 97477-2579 | 2019-11-19 |
| 1366720880 | Paige E Cannon | Registered Nurse | 405 21st St, Springfield, OR 97477-5042 | 2011-08-02 |
| 1477605756 | Janet Mary Hammer | Registered Nurse | 566 Night Hawk Ln, Springfield, OR 97477-2741 | 2007-01-17 |
| 1477565786 | Susan None Allen | Registered Nurse | 2775 W Dickman Rd Ste L, Springfield, MI 49015-4866 | 2006-08-13 |
| 1477574879 | Anne Perry Coleman | Registered Nurse | 1088 57th St, Springfield, OR 97478-6825 | 2006-07-21 |
| 1225664709 | Drew Watts | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-03-17 |
| 1518420900 | Debra C Flowers | Registered Nurse | 800 S Brown St, Springfield, TN 37172-2920 | 2019-04-11 |
| 1487120176 | Juanita Cooper | Registered Nurse | 800 S Brown St, Springfield, TN 37172-2920 | 2018-10-19 |
| 1841783982 | Doris Lynn Boshaw | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2018-06-13 |
| 1780174896 | Maureen Bartels | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2018-05-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97478 |
Please comment or provide details below to improve the information on SHIRLEY JEAN MIDDLESTETTER.
| 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.