JENNIFER TICKNER (NPI# 1902191513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902191513 |
| Entity Type | Individual |
| Full Name | JENNIFER TICKNER |
| Credential | CST/CSFA |
| Practice Address |
10152 Silverton Rd Ne Silverton OR 97381-9306 |
| Practice Telephone | 5034809887 |
| Mailing Telephone | 5034809887 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
126088 | OR | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
10152 SILVERTON RD NE |
| City | SILVERTON |
| State | OR |
| Zip Code | 97381-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023471729 | Christopher Vance Cooper | Counselor | 302 N Water St, Silverton, OR 97381 | 2016-03-30 |
| 1528426558 | Jennifer Winslow | Dentist | 411 N Water St, Silverton, OR 97381 | 2016-02-04 |
| 1487993366 | Darcey Kirkwood | Counselor | 104 N 1st St., Ste 12, Silverton, OR 97381 | 2013-02-12 |
| 1396001517 | Jennifer Rose Stevens | Nurse Practitioner | 347 Fairview Street, Silverton, OR 97381 | 2012-04-03 |
| 1992093819 | Lisa Jane Malmquist | Advanced Practice Midwife | 406 Welch Street, Silverton, OR 97381 | 2011-07-12 |
| 1588828842 | Kendall T Pyper | Dentist | 214 Oak St, Silverton, OR 97381 | 2008-07-16 |
| 1043407331 | Assisted Living Concepts Inc | Assisted Living Facility | 930 Oak Street, Silverton, OR 97381 | 2007-10-01 |
| 1447457460 | Sharon Louise Purtymun | Massage Therapist | 602 Front St., Silverton, OR 97381 | 2007-07-02 |
| 1255470076 | Olwyn K Davies Md PC | General Practice | 410 Welch Street, Silverton, OR 97381 | 2007-02-06 |
| 1598771131 | Mark Calvin Rowley | Obstetrics & Gynecology | 607 Welch Street, Silverton, OR 97381 | 2006-08-01 |
| Find all providers in zip 97381 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699127993 | Jeanette Dibala | Specialist/Technologist, Other | 342 Fairview St, Silverton, OR 97381-1917 | 2016-07-11 |
| 1881052082 | Lidia Fediounina | Specialist/Technologist, Other | 342 Fairview Street, Silverton, OR 97381-1917 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224325 | Shon Patrick Hueth | Specialist/Technologist, Other | 6796 Ivy St, Springfield, OR 97478-7355 | 2020-04-24 |
| 1962022566 | Tl Surgical Assistants | Specialist/Technologist, Other | 13720 Sw 24th St, Beaverton, OR 97008-5055 | 2020-04-23 |
| 1427696244 | Colleen Marie Pennington | Specialist/Technologist, Other | 87936 Limpit Ln, Florence, OR 97439-9053 | 2019-12-11 |
| 1841733680 | Kristin Gai Fedorov | Specialist/Technologist, Other | 5015 Dillard Rd, Eugene, OR 97405-4404 | 2016-11-28 |
| 1801253729 | Julian Haas | Specialist/Technologist, Other | 1150 Darlene Ln Apt 151, Eugene, OR 97401-1109 | 2016-01-22 |
| 1457744690 | Sheila Marie Snyder | Specialist/Technologist, Other | 86462 Rose Hill Rd, Florence, OR 97439-9222 | 2015-03-12 |
| 1205153715 | David Joseph Brown | Specialist/Technologist, Other | 14835 Monitor Mckee Rd Ne, Mount Angel, OR 97362-9643 | 2010-04-23 |
| 1962728790 | Martindale Csfa | Specialist/Technologist, Other | 6414 Honeywood Ct Ne, Keizer, OR 97303-1187 | 2010-04-19 |
| 1023262995 | Jacob Nathanael Martinez | Specialist/Technologist, Other | 3410 Merryvale Rd, Eugene, OR 97404-3870 | 2008-11-05 |
| 1861640740 | Jason Rhoades | Specialist/Technologist, Other | 1152 S 39th St, Springfield, OR 97478-9552 | 2008-09-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER TICKNER.
| 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.