MS. SUZANNE KENT NIEMAN (NPI# 1891907580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891907580 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE KENT NIEMAN |
| Credential | PMHNP |
| Practice Address |
66 Club Rd Ste 160 Eugene OR 97401-2439 |
| Mailing Address |
3765 Robbie St Eugene OR 97404-1996 |
| Practice Telephone | 5413451722 |
| Practice Fax Number | 5414857049 |
| Mailing Telephone | 8584499052 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 595197 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
202004996NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95005550 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7986 Dagget St, San Diego, CA 921112321 | 8583000460 | 8583000461 |
| Street Address |
66 CLUB RD STE 160 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487638201 | Amber R Benson | Nurse Practitioner | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2005-12-05 |
| 1528610177 | Cory Hoover | Nurse Practitioner | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2019-07-14 |
| 1689010597 | Cassandre Cressall | Registered Nurse | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2013-05-17 |
| 1922355411 | Christopher P Tower | Registered Nurse | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2012-08-14 |
| 1124224209 | Deborah A Phillips | Nurse Practitioner | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2007-06-25 |
| 1447372537 | Patricia Marie White | Psychologist | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2007-04-06 |
| 1912042862 | Amber Benson Pmhnp PC | Nurse Practitioner | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2007-02-20 |
| 1255490645 | Christine Menager | Nurse Practitioner | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2006-12-08 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972021707 | Virginia Dimitre | Nurse Practitioner | Betts Psychiatric, 911 Country Club Rd., Suite 340, Eugene, OR 97401-6044 | 2017-08-31 |
| 1992011266 | Amanda M Lies | Nurse Practitioner | 541 Willamette St Ste 208b, Eugene, OR 97401-2615 | 2010-08-25 |
| 1174604276 | Peter Lewis Schnabel | Nurse Practitioner | 2411 Martin Luther King Blvd, Eugene, OR 97401 | 2006-10-17 |
| 1922101807 | Cara Lynn Chapman | Nurse Practitioner | 401 E 10th Ave, Suite 330, Eugene, OR 97401-3317 | 2006-09-06 |
| 1528176377 | Carole Bekkenhuis-johnson | Nurse Practitioner | 3225 Williamette St, Suite 3, Eugene, OR 97405 | 2006-08-29 |
| 1144261207 | Bonny Jo Barr | Nurse Practitioner | 2411 Mlk Jr Blvd, Eugene, OR 97401-5824 | 2006-06-09 |
| 1487638201 | Amber R Benson | Nurse Practitioner | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2005-12-05 |
| 1528610177 | Cory Hoover | Nurse Practitioner | 66 Club Rd Ste 160, Eugene, OR 97401-2439 | 2019-07-14 |
| 1619534146 | Mary Cameron Leyda | Nurse Practitioner | 195 W 12th Ave, Eugene, OR 97401-3408 | 2019-05-21 |
| 1841767340 | Todd Elliot Styles | Nurse Practitioner | 2145 Centennial Plz, Eugene, OR 97401-2474 | 2018-11-01 |
| 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.