BEVERLEY ANN SERVICE (NPI# 1841822996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841822996 |
Entity Type | Individual |
Full Name | BEVERLEY ANN SERVICE |
Practice Address |
2355 Morrow Ct Nw Salem OR 97304-1763 |
Practice Telephone | 5033649015 |
Mailing Telephone | 5033649015 |
Enumeration Date | 2020-02-06 |
Last Update Date | 2020-02-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
2355 MORROW CT NW |
City | SALEM |
State | OR |
Zip Code | 97304-1763 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
Find all providers in zip 97304 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720615115 | Darcy Sue Ducheneaux | Technician | 131 W Drake Ave, Salem, SD 57058-8980 | 2020-03-25 |
1104469758 | Deonne Grimmer | Technician | 2308 Rogers Ln Nw, Salem, OR 97304-1007 | 2019-10-25 |
1356992663 | Dorothy Adkins | Technician | 383 Lee Road 334, Salem, AL 36874-3713 | 2019-09-27 |
1093366700 | Susan Luella Crockett | Technician | 803 Craig Ave, Salem, VA 24153-2839 | 2019-09-24 |
1902455280 | Casey E Thomas | Technician | 4745 Horseshoe Ct Se, Salem, OR 97317-5539 | 2019-09-09 |
1407498074 | Jacob Benjamin Johnston | Technician | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2019-10-15 |
1043861347 | Mary Otey | Technician | 1970 Roanoke Blvd, Salem, VA 24153-6478 | 2019-09-27 |
1225689045 | Sarah F Thomas | Technician | 4745 Horseshoe Ct Se, Salem, OR 97317-5539 | 2019-09-23 |
1952951279 | Vera Walker Sparrow | Technician | 1970 Roanoke Blvd, Salem, VA 24153-6478 | 2019-09-18 |
1235789686 | Arlene Joan Ingram | Technician | 1970 Roanoke Blvd, Salem, VA 24153-6478 | 2019-09-18 |
Find all providers in SALEM |
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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.