JENNY V TAUSCH (NPI# 1023649605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023649605 |
| Entity Type | Individual |
| Full Name | JENNY V TAUSCH |
| Credential | APRN PMHNP |
| Practice Address |
11 Sw Brantley Dr Winston OR 97496-4526 |
| Practice Telephone | 5416790366 |
| Mailing Telephone | 5416790366 |
| Mailing Fax Number | 5416794821 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
20200109NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1927 Channel St, North Bend, OR 974591826 | 5418080627 | 5412486062 |
| 1775 Thompson Rd, Coos Bay, OR 974202125 | 5412698111 |
| Street Address |
11 SW BRANTLEY DR |
| City | WINSTON |
| State | OR |
| Zip Code | 97496-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861843310 | Stacy J Nielsen, Lcsw, LLC | Community/Behavioral Health | 11 Sw Brantley Dr, Winston, OR 97496-4526 | 2016-06-27 |
| 1154944536 | Functional Mental Health | Nurse Practitioner | 11 Sw Brantley Dr, Winston, OR 97496-4526 | 2020-05-20 |
| 1639698350 | Jeffrey Wheeler | Social Worker | 11 Sw Brantley Dr, Winston, OR 97496-4526 | 2017-09-13 |
| 1932551165 | Mckenzie Smith | Nurse Practitioner | 11 Sw Brantley Dr, Winston, OR 97496-4526 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679957708 | Second Wind Mental Health Clinic | Clinic/Center | 11 Sw Brantley Drive, Winston, OR 97496 | 2015-07-18 |
| 1992951305 | Ronald Forrest Tribble | Dentist | 90 Nw Glenhart, Winston, OR 97496 | 2008-08-18 |
| 1396923884 | Karen S Triplett | Nurse Practitioner | 92 Nw Glenhart Ave, Winston, OR 97496 | 2008-02-06 |
| 1629168166 | Adolescent Day Treatment Center Inc of Douglas County | Clinic/Center | 671 S.w. Main, Winston, OR 97496 | 2006-10-13 |
| 1184610123 | Ronald F. Tribble, Dmd, PC | Dentist | 90 Nw Glenhart Ave, Winston, OR 97496 | 2005-09-26 |
| 1083016695 | Cora G Hart | Psychologist | 671 Sw Main St, Winston, OR 97496 | 2014-09-25 |
| 1912160169 | Kathryn Elizabeth Dailey | Social Worker | 671 Sw Main, Winston, OR 97496 | 2008-07-08 |
| 1912061755 | Adapt | Family Medicine | 671 Sw Main, Winston, OR 97496-0012 | 2006-12-19 |
| 1144426271 | Rebecca Lin Duffy | Nurse Practitioner | 311 Sw Main, Winston, OR 97496-0771 | 2007-06-25 |
| 1033462866 | Kathryn Vara | Registered Nurse | 77 Sw Brantley Dr, Winston, OR 97496-4526 | 2012-10-17 |
| Find all providers in zip 97496 | ||||
| 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 |
|---|---|---|---|---|
| 1144426271 | Rebecca Lin Duffy | Nurse Practitioner | 311 Sw Main, Winston, OR 97496-0771 | 2007-06-25 |
| 1154944536 | Functional Mental Health | Nurse Practitioner | 11 Sw Brantley Dr, Winston, OR 97496-4526 | 2020-05-20 |
| 1932551165 | Mckenzie Smith | Nurse Practitioner | 11 Sw Brantley Dr, Winston, OR 97496-4526 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1629687892 | Robin Sue Finney | Nurse Practitioner | 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 | 2020-07-23 |
| 1518584457 | Akhena Health & Wellness LLC | Nurse Practitioner | 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 | 2020-06-26 |
| 1447871678 | Monarch Mental Health LLC | Nurse Practitioner | 1927 Channel St, North Bend, OR 97459-1826 | 2020-04-28 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1366071607 | Med Rx Partners, P.C. | Nurse Practitioner | 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 | 2020-04-08 |
| 1417583170 | Brittany Joy Monson | Nurse Practitioner | 12115 Sw 70th Ave, Tigard, OR 97223-9647 | 2020-03-13 |
| 1073147716 | Paradigm Mental Health and Wellness LLC | Nurse Practitioner | 724 S Central Ave Ste 101d, Medford, OR 97501-7808 | 2020-03-02 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
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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.