MS. JADE CARBOY (NPI# 1891286944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891286944 |
| Entity Type | Individual |
| Full Name | MS. JADE CARBOY |
| Practice Address |
890 River Rd Eugene OR 97404-3233 |
| Mailing Address |
414 Julie Dr Gallup NM 87301-4815 |
| Practice Telephone | 5416880674 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AG05180071 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
104418853 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
890 RIVER RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518934751 | Regina M. Fiacco | Physician Assistant | 890 River Rd, Eugene, OR 97404-3233 | 2006-03-07 |
| 1982029666 | Rebecca Beck | Nurse Practitioner | 890 River Rd, Eugene, OR 97404-3233 | 2014-03-04 |
| 1376884304 | Sagen Castellanos Olson | Physician Assistant | 890 River Rd, Eugene, OR 97404-3233 | 2013-03-15 |
| 1487768859 | Patricia Perkins Buchanan | Family Medicine | 890 River Rd, Eugene, OR 97404-3233 | 2006-08-19 |
| 1770698102 | Dirk G Debroekert | Physician Assistant | 890 River Rd, Eugene, OR 97404-3233 | 2006-08-19 |
| 1083651814 | River Road Medical Group | Family Medicine | 890 River Rd, Eugene, OR 97404-3233 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811268154 | Tabitha Ann Childers | Nurse Practitioner | 120 Shelton Mcmurphey Blvd Ste 300, Eugene, OR 97401-8718 | 2012-01-18 |
| 1174660179 | Susan Homolka | Nurse Practitioner | 1670 High St, Eugene, OR 97401-4151 | 2007-01-31 |
| 1083787949 | Gayle Ann Hand | Nurse Practitioner | 390 W 12th Ave, Eugene, OR 97401-3449 | 2006-11-16 |
| 1750351813 | Joanne E Lutz | Nurse Practitioner | 1355 Oak St Ste 100, Eugene, OR 97401-3566 | 2006-01-23 |
| 1366997355 | Natalia Hayes | Nurse Practitioner | 2650 Suzanne Way, Eugene, OR 97408-7319 | 2016-08-18 |
| 1851707814 | Morgan Krista Shasteen | Nurse Practitioner | 1255 Hilyard St, Eugene, OR 97401-3718 | 2014-07-10 |
| 1467693093 | James Edward Sims | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2009-03-11 |
| 1518184985 | Jolene Siemsen | Nurse Practitioner | 1232 University of Oregon, University Health Center, Eugene, OR 97403-1205 | 2007-04-19 |
| 1639225006 | Elizabeth Anne Hubbard Mattson | Nurse Practitioner | 1232 University of Oregon, Health Center, Eugene, OR 97403-1232 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
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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.