LISA KELM (NPI# 1811039605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811039605 |
| Entity Type | Individual |
| Full Name | LISA KELM |
| Credential | OTR |
| Practice Address |
743 Country Club Rd Eugene OR 97401-6019 |
| Practice Telephone | 5413490074 |
| Practice Fax Number | 5416835206 |
| Mailing Telephone | 5413490074 |
| Mailing Fax Number | 5416835206 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGENCE BLUE CROSS BLUE SHEILD | 838406003 | 01 |
| OR | 240520 | 05 | |
| OR | REGENCE MEDADVANTAGE | 800895103 | 01 |
| Street Address |
743 COUNTRY CLUB RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309326 | Nathan Bryan Smith | Physician Assistant | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-01-06 |
| 1750650511 | Cascade Anesthesia Services | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2011-12-23 |
| 1407038342 | Cynthia A Dreyer | Dermatology | 743 Country Club Rd, Eugene, OR 97401-6019 | 2007-12-03 |
| 1417019829 | Dreyer Dermatology | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-12-14 |
| 1649330457 | Hand Therapy Clinic LLC | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-12-11 |
| 1851305791 | Leslie Werschkul Mcstravick | Physician Assistant | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-07-28 |
| 1053350702 | Virginia Harrison Saunders | Occupational Therapist | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-06-06 |
| 1174561658 | Kenda Hills | Physician Assistant | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-06-04 |
| 1851353668 | Thomas Dreyer | Plastic Surgery | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-04-05 |
| 1417918772 | Northwest Center for Plastic Surgery, LLC | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639430887 | Carrie F. Meadowcroft | Occupational Therapist | 598 E. 13th Avenue, Eugene, OR 97401 | 2012-06-05 |
| 1962727545 | Willamette Hand Therapy, LLC | Occupational Therapist | 1711 Willamette St, Suite 302, Eugene, OR 97401-4014 | 2010-04-07 |
| 1427128834 | Eugene Hand Therapy Clinic LLC | Occupational Therapist | 2866 Crescent Ave, Suite 107, Eugene, OR 97408-7342 | 2006-11-09 |
| 1750693552 | Judith Marie Emmanere | Occupational Therapist | 1800 Coburg Rd, Eugene, OR 97401-4995 | 2010-07-08 |
| 1457542938 | Maureen Mccauley | Occupational Therapist | 55 Coburg Rd, Eugene, OR 97401-2433 | 2007-08-08 |
| 1215128798 | Nancy J. Clogston | Occupational Therapist | 55 Coburg Rd, Eugene, OR 97401-2433 | 2007-08-08 |
| 1801092713 | Christine B Emmes | Occupational Therapist | 55 Coburg Rd, Eugene, OR 97401-2433 | 2007-06-26 |
| 1386786101 | Debbie Ahearn | Occupational Therapist | 2866 Crescent Ave, Suite 107, Eugene, OR 97408-7342 | 2007-02-12 |
| 1528100310 | Leslie Hoffman | Occupational Therapist | 598 E 13th Ave, Eugene, OR 97401-4267 | 2007-02-12 |
| 1053350702 | Virginia Harrison Saunders | Occupational Therapist | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-06-06 |
| 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.