JANEAN MARIE FOSSUM (NPI# 1891822938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891822938 |
| Entity Type | Individual |
| Full Name | JANEAN MARIE FOSSUM |
| Credential | RN, BSN |
| Practice Address |
115 Hansen Ln Eugene OR 97404-3185 |
| Practice Telephone | 5416898902 |
| Practice Fax Number | 5414619369 |
| Mailing Telephone | 5416898902 |
| Mailing Fax Number | 5414619369 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DMAP | 098328 | 01 |
| Street Address |
115 HANSEN LN |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-3185 |
| 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 | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417415647 | Arriane Dale Manliclic Alarcon | Registered Nurse | 3334 Buckingham Ave, Eugene, OR 97401-8020 | 2019-03-06 |
| 1306205471 | Monty Ray Smith | Registered Nurse | 1419 Olive St, Eugene, OR 97401-3911 | 2016-02-18 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1285040154 | Leadi Aminou | Registered Nurse | 3950 Goodpasture Loop Apt N232, Eugene, OR 97401-1473 | 2014-07-10 |
| 1891125910 | Erin Faye Jenkins | Registered Nurse | 911 W 1st Ave, Eugene, OR 97402-4903 | 2013-11-26 |
| 1649516022 | Heather Taylor | Registered Nurse | 140 N Polk St, Eugene, OR 97402-4111 | 2012-12-12 |
| 1891043535 | Danielle Autumn Halbrook | Registered Nurse | 1617 Larkspur Loop, Eugene, OR 97401-7267 | 2012-08-28 |
| 1104195742 | Jill Fae Gage Rodolf | Registered Nurse | 151 W 7th Ave Ste 210, Eugene, OR 97401-2676 | 2011-12-28 |
| 1801185087 | Trena M Lindsey | Registered Nurse | 2780 Lincoln St, Eugene, OR 97405-2775 | 2011-03-29 |
| 1750685434 | Kimberly Robles | Registered Nurse | 160 E 25th Ave, Eugene, OR 97405-3608 | 2011-01-10 |
| 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.