MRS. LYNN D MODJESKI (NPI# 1922130905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922130905 |
| Entity Type | Individual |
| Full Name | MRS. LYNN D MODJESKI |
| Credential | PMHNP, RN |
| Practice Address |
39 Nw Louisiana Ave Bend OR 97701-3203 |
| Practice Telephone | 5413828862 |
| Practice Fax Number | 5413828928 |
| Mailing Telephone | 5413828862 |
| Mailing Fax Number | 5413828928 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
22752 | OR | Nursing Service Providers |
| X | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
22752 | OR | Nursing Service Providers |
| X | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
22752 | OR | Nursing Service Providers |
| Street Address |
39 NW LOUISIANA AVE |
| City | BEND |
| State | OR |
| Zip Code | 97701-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861050072 | Healing Roots Counseling, LLC | Counselor | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2019-06-03 |
| 1356823306 | Angela Kay Pyke | Counselor | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2018-09-05 |
| 1902305196 | Keri Lynn Garrison | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2018-02-02 |
| 1477098812 | Lori Ann Carroll | Chiropractor | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2016-12-20 |
| 1508213893 | Kevin R. Pett Phd | Acupuncturist | 39 Nw Louisiana Ave, Bend, OR 97703-3310 | 2016-05-17 |
| 1386035277 | Sarah Reynolds-jackson | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2015-02-12 |
| 1194123786 | Calley Asbill | Naturopath | 39 Nw Louisiana Ave, Bend, OR 97701 | 2014-12-12 |
| 1245652353 | Matt Lauziere | Specialist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2014-01-08 |
| 1326481383 | Karl Dwight Jackson | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2013-04-09 |
| 1841533965 | Justine Kargol | Massage Therapist | 39 Nw Louisiana Ave, Bend, OR 97701-3310 | 2013-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1740897511 | Steve Nathanial Harper | Counselor | 1354 Nw Ithaca Ave, Bend, OR 97703-2223 | 2020-09-25 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1962028928 | Elizabeth Kay Grotsky | Counselor | 1900 Ne Division St Ste 201, Bend, OR 97701-3572 | 2020-06-24 |
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1407472996 | Abigail Kelley | Counselor | 3156 Ne Yellow Ribbon Dr, Bend, OR 97701-7522 | 2020-06-19 |
| 1932723863 | Chloe Hallock | Counselor | 296 Sw Columbia St Ste D2, Bend, OR 97702-1020 | 2020-06-06 |
| 1275153983 | Riverbend Family Counseling | Counselor | 300 Se Reed Market Rd Ste 115, Bend, OR 97702-3814 | 2020-04-22 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1497391197 | Mountain Equinox LLC | Counselor | 1554 Ne 4th St, Bend, OR 97701-4240 | 2019-11-18 |
| Find all providers in BEND | ||||
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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.