JOLENE SIMMONS (NPI# 1023497633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023497633 |
| Entity Type | Individual |
| Full Name | JOLENE SIMMONS |
| Other Name | JOLENE KIRLAND |
| Practice Address |
755 Ne Circle Blvd Unit 30 Corvallis OR 97330-4261 |
| Mailing Address |
755 Ne Circle Blvd Space 30 Corvallis OR 97330 |
| Practice Telephone | 5417547302 |
| Practice Fax Number | 5417547302 |
| Mailing Telephone | 5417547302 |
| Mailing Fax Number | 5417547302 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 200930298LPN | OR | Nursing Service Providers |
| Street Address |
755 NE CIRCLE BLVD UNIT 30 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-4261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740552918 | Oscar G Martinez Jr. | Licensed Practical Nurse | 3570 Se Shoreline Dr, Corvallis, OR 97333-3208 | 2012-02-03 |
| 1578852596 | Cassondra Lynn Gibeaut | Licensed Practical Nurse | 5860 Nw Highland Pl, Corvallis, OR 97330-9729 | 2011-03-30 |
| 1326276940 | Virginia Kristel Froseth | Licensed Practical Nurse | 349 Popham Ln, Corvallis, MT 59828-9509 | 2009-06-23 |
| 1083867097 | Kathleen Ellen Huston | Licensed Practical Nurse | 1605 Nw 13th St, Corvallis, OR 97330-2011 | 2008-11-04 |
| 1629616271 | Ann Elizabeth Carpenter | Licensed Practical Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2019-12-13 |
| 1043866700 | Jade Rossi | Licensed Practical Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2019-08-16 |
| 1043773294 | Raechel Presson | Licensed Practical Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2019-04-12 |
| 1033600051 | Madeline Krummel | Licensed Practical Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-05-24 |
| 1710487426 | Katie Darby | Licensed Practical Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-02-19 |
| 1720503261 | Alissa Bass | Licensed Practical Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-08-05 |
| Find all providers in CORVALLIS | ||||
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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.