KIMBERLY DAWN LEAHY (NPI# 1932717832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932717832 |
| Entity Type | Individual |
| Full Name | KIMBERLY DAWN LEAHY |
| Practice Address |
58646 Mcnulty Way Saint Helens OR 97051-6210 |
| Mailing Address |
Po Box 1234 Saint Helens OR 97051-8234 |
| Practice Telephone | 9712031316 |
| Practice Fax Number | 5033975373 |
| Mailing Telephone | 9712031316 |
| Mailing Fax Number | 5033975373 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 20-CRM-161 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CERTIFIED RECOVERY MENTOR | 20-CRM-161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851750459 | Kimberly Hayden Leahy | Nurse Practitioner | 950 Yale Ave, Wallingford, CT 06492-1858 | 2016-02-11 |
| 1720009145 | Kimberly Leahy | Speech-Language Pathologist | 6900 Beechmont Ave, Cincinnati, OH 45230-2910 | 2006-07-21 |
| Street Address |
58646 MCNULTY WAY |
| City | SAINT HELENS |
| State | OR |
| Zip Code | 97051-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730170085 | Irene Ann Holland | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2005-11-03 |
| 1841802386 | Tamanna Malik | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-08-17 |
| 1912529520 | Amanda Lee Adams | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-05-18 |
| 1639707078 | Tyler James Walsh | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-03-31 |
| 1932733912 | Amy Dawn Baker | Technician, Other | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-02-27 |
| 1033749536 | Michelle Miller | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-23 |
| 1376173187 | Heidi Carmody | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-21 |
| 1295375129 | Angeline Maria Huserik Cowles | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-08 |
| 1639718729 | Aaron Mitchell Brown | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-06 |
| 1679111298 | Kendell Tyree Nelson | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387468 | Jason Lee Morris | Physical Therapist | 21 Cowlitz Street, St. Helens, OR 97051 | 2020-02-07 |
| 1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
| 1356713952 | Maykel Hashemieh Shirazi | Pharmacist | 2292 Gable Rd, Saint Helens, OR 97051 | 2015-10-22 |
| 1730565995 | Jeremy Scott Jones | Counselor | 105 S Thierd, Saint Helens, OR 97051 | 2015-08-10 |
| 1548652621 | Ashley Marie Prietto | Counselor | 58464 Mcnulty Way, Saint Helens, OR 97051 | 2015-02-25 |
| 1376898619 | Amy Beth Terry | Counselor | 58646 Mcnutty Way, St. Helens, OR 97051 | 2012-07-23 |
| 1639430762 | Scott David Swanson | Pharmacist | 795 Columbia River Hwy, St. Helens, OR 97051 | 2012-06-05 |
| 1871850586 | Christina Nadean Lane | Massage Therapist | 52515 Columbia River Highway, Scappoose, OR 97051 | 2012-04-19 |
| 1235432550 | Alysha Barbour | Acupuncturist | 1561 Columbia Blvd., Saint Helens, OR 97051 | 2010-12-08 |
| 1649572207 | Pure Serenity Massage LLC | Massage Therapist | 440 Columbia Blvd., St. Helens, OR 97051 | 2010-12-02 |
| Find all providers in zip 97051 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912564105 | Zoe Farrell | Peer Specialist | 445 Port Ave Ste A, Saint Helens, OR 97051-6225 | 2019-05-22 |
| 1134698202 | Arejonna Bowen | Peer Specialist | 445 Port Ave Ste A, Saint Helens, OR 97051-6225 | 2018-11-19 |
| 1578044905 | Katherine Theresa Rainsbury | Peer Specialist | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2018-08-23 |
| 1154802783 | Jonathan Ray Vanzandt | Peer Specialist | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2018-08-22 |
| 1194232843 | Lauren Kronebusch | Peer Specialist | 445 Port Ave Ste A, Saint Helens, OR 97051-6225 | 2018-01-03 |
| 1033666334 | Heather Peterson | Peer Specialist | 445 Port Ave, Saint Helens, OR 97051-6225 | 2016-09-02 |
| 1447706239 | Barbara Buss | Peer Specialist | 445 Port Ave Ste A, Saint Helens, OR 97051-6225 | 2016-08-31 |
| 1134589757 | Joseph Anthony Wessel | Peer Specialist | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
| 1578162145 | Kenneth Branson | Peer Specialist | 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 | 2020-10-23 |
| 1962000554 | Dawn Marks | Peer Specialist | 21440 Se Stark St, Gresham, OR 97030-2024 | 2020-10-15 |
| 1679188080 | Michelle Marie Bunkers | Peer Specialist | 20517 Jacklight Ln, Bend, OR 97702-2971 | 2020-09-11 |
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1528677820 | Charice Monette | Peer Specialist | 4151 Kacey Cir Ne, Salem, OR 97305-4504 | 2020-07-23 |
| 1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
| 1982237236 | Jessica M Montoya | Peer Specialist | 235 Se Knowledge St, Prineville, OR 97754-2362 | 2020-02-14 |
| 1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
| 1730711953 | Michael Anthony Duran | Peer Specialist | 1515 Hill St Se, Albany, OR 97322-6715 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT HELENS |
| Zip Code | 97051 |
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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.