KATHERYN NUCKOLLS (NPI# 1811317928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811317928 |
| Entity Type | Individual |
| Full Name | KATHERYN NUCKOLLS |
| Credential | N.D. |
| Practice Address |
650 Sw 3rd St Corvallis OR 97333 |
| Practice Telephone | 5416020260 |
| Practice Fax Number | 5417534217 |
| Mailing Telephone | 5416020260 |
| Mailing Fax Number | 5417534217 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 4086 | OR | Other Service Providers |
| N | 175F00000X | Naturopath | 14-1424 | AZ | Other Service Providers |
| Street Address |
650 SW 3RD ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932231495 | Gina Kathleen Anderson | Psychiatry & Neurology | 650 Sw 3rd St, Corvallis, OR 97333-4437 | 2007-03-11 |
| 1306388095 | Tina Dreisbach | Acupuncturist | 650 Sw 3rd St, Corvallis, OR 97333-4437 | 2016-11-10 |
| 1164720942 | Piercey Neurology LLC | Durable Medical Equipment & Medical Supplies | 650 Sw 3rd St, Corvallis, OR 97333-4437 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912280942 | Deborah Elizabeth Anderson | Naturopath | 252 Sw Madison Ave, Suite 180, Corvallis, OR 97333-4891 | 2011-09-26 |
| 1710116074 | Abigail Wojcikiewicz | Naturopath | 2856 Nw Van Buren Ave Apt 3, Corvallis, OR 97330-5257 | 2009-07-08 |
| 1396960175 | Cinda Marie Flynn | Naturopath | 1220 Nw Kings Blvd, Corvallis, OR 97330-2521 | 2007-04-16 |
| 1124152533 | Thomas Michael Rogers | Naturopath | 442 Nw 4th St., Suite 101, Corvallis, OR 97330 | 2007-03-15 |
| 1780716738 | Core Vitality Clinic | Naturopath | 442 Nw 4th St, Suite 101, Corvallis, OR 97330-6491 | 2007-03-12 |
| 1205888302 | One Heart Heals Holistic Healthcare, PC | Naturopath | 1515 Nw 9th St, Corvallis, OR 97330-4512 | 2006-05-17 |
| 1821080789 | Alan Kadish | Naturopath | 985 Nw 23rd St, Corvallis, OR 97330-4309 | 2005-08-17 |
| 1760020200 | Mary J Boucher | Naturopath | 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 | 2019-12-16 |
| 1881946986 | Amanda Lee Richardson-meyer | Naturopath | 426 Nw 4th St, Corvallis, OR 97330-6409 | 2012-10-12 |
| 1235306192 | John Paul Kaesermann | Naturopath | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2008-05-09 |
| Find all providers in CORVALLIS | ||||
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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.