COLLEEN LILLIE (NPI# 1063963569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063963569 |
| Entity Type | Individual |
| Full Name | COLLEEN LILLIE |
| Practice Address |
290 Willamette St Umatilla OR 97882-6601 |
| Mailing Address |
702 Sunset Dr Ontario OR 97914-3121 |
| Practice Telephone | 5419220880 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 081001417RN | OR | Nursing Service Providers |
| Street Address |
290 WILLAMETTE ST |
| City | UMATILLA |
| State | OR |
| Zip Code | 97882-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215179577 | Sandra K Peery | Counselor | 290 Willamette St, Umatilla, OR 97882-6601 | 2009-04-01 |
| 1942819768 | Shannon Lee Avila | Case Manager/Care Coordinator | 290 Willamette St, Umatilla, OR 97882-6601 | 2020-07-28 |
| 1841853348 | Sharon Marie Smith | Registered Nurse | 290 Willamette St, Umatilla, OR 97882-6601 | 2019-04-19 |
| 1568923811 | Bridgett J Sullivan | Nurse's Aide | 290 Willamette St, Umatilla, OR 97882-6601 | 2019-03-28 |
| 1376000877 | Lacey O'neal | Nurse's Aide | 290 Willamette St, Umatilla, OR 97882-6601 | 2019-02-21 |
| 1932665627 | Alice O Konecny | Nurse's Aide | 290 Willamette St, Umatilla, OR 97882-6601 | 2019-02-18 |
| 1558834465 | Crystal Lee Marler | Nurse's Aide | 290 Willamette St, Umatilla, OR 97882-6601 | 2019-01-03 |
| 1205321544 | Theresa Capote | Nurse's Aide | 290 Willamette St, Umatilla, OR 97882-6601 | 2018-06-28 |
| 1952898967 | Angela Marlow | Case Manager/Care Coordinator | 290 Willamette St, Umatilla, OR 97882-6601 | 2018-04-16 |
| 1609371871 | Janis Beardsley | Registered Nurse | 290 Willamette St, Umatilla, OR 97882-6601 | 2018-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183063 | Praxis Medical Group P.C. | Clinic/Center | 1890 7th St., Umatilla, OR 97882 | 2020-10-27 |
| 1518448513 | Jennifer Alane Escobedo | Counselor | 915 S.e. Columbia Drive, Hermiston, OR 97882 | 2018-08-27 |
| 1003985482 | Carol Shelton | Dentist | 82911 Beach Access Rd. (two Rivers Correctional Inst.), Umatilla, OR 97882 | 2006-11-07 |
| 1457358251 | Robert Sterling Carr | Dentist | 200 6th St, Umatilla, OR 97882 | 2005-07-07 |
| 1588736045 | Umatilla Rural Fire Protection | Emergency Medical Technician, Paramedic | 921 6th Street, Umatilla, OR 97882-0456 | 2006-11-13 |
| 1093834004 | Umatilla Medical Clinic | Clinic/Center | 1890 E 7th Street, Umatilla, OR 97882-0790 | 2007-03-29 |
| 1609310127 | All About Smiles Dental Clinic | Clinic/Center | 200 6th St, Umatilla, OR 97882-3004 | 2016-12-19 |
| 1770647281 | Pamela Renee Stonecypher | Counselor | 28535 Southshore Dr, Umatilla, OR 97882-6124 | 2006-12-20 |
| 1427054600 | Jennifer J Armstrong | Nurse Practitioner | 82346 Bucks Ln, Umatilla, OR 97882-6249 | 2005-06-22 |
| 1427326230 | Catreece Edmiston | Massage Therapist | 81673 Harbor Lite Dr, Umatilla, OR 97882-6257 | 2011-12-07 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1902109192 | Maria Mendoza | Registered Nurse | 14 Pomono Dr, Umatilla, OR 97882-9624 | 2010-12-10 |
| 1841853348 | Sharon Marie Smith | Registered Nurse | 290 Willamette St, Umatilla, OR 97882-6601 | 2019-04-19 |
| 1609371871 | Janis Beardsley | Registered Nurse | 290 Willamette St, Umatilla, OR 97882-6601 | 2018-03-28 |
| 1427509827 | Elizabeth Bradshaw | Registered Nurse | 290 Willamette St, Umatilla, OR 97882-6601 | 2016-10-20 |
| 1447701933 | Laurie Hartung | Registered Nurse | 290 Willamette St, Umatilla, OR 97882-6601 | 2016-10-19 |
| 1023569548 | Jolene Smith | Registered Nurse | 290 Willamette St, Umatilla, OR 97882-6601 | 2016-10-19 |
| 1720539414 | Heather Blagg | Registered Nurse | 290 Willamette St, Umatilla, OR 97882-6601 | 2016-10-18 |
| 1689125270 | Janice Carey | Registered Nurse | 290 Willamette St, Umatilla, OR 97882-6601 | 2016-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133076 | Mariana Aguero-sollo Ivie | Registered Nurse | 4577 Souza St, Eugene, OR 97402-6120 | 2020-10-30 |
| 1295332567 | Kara Lynn Liechty | Registered Nurse | 11003 Sw 30th Pl, Portland, OR 97219-2588 | 2020-10-08 |
| 1578170668 | Marissa Ortega Colangelo | Registered Nurse | 2315 11th St, North Bend, OR 97459-2102 | 2020-09-23 |
| 1194331942 | Grace Duncan | Registered Nurse | 1200 Nw Marshall St Ste 1102, Portland, OR 97209-3177 | 2020-09-17 |
| 1790390151 | Megan M Goodman | Registered Nurse | 4262 N Vancouver Ave Apt 221, Portland, OR 97217-2995 | 2020-09-12 |
| 1952916678 | Rachel Nelson | Registered Nurse | 23301 Sw Bosky Dell Ln, West Linn, OR 97068-9130 | 2020-09-10 |
| 1548872963 | Courtney Marie Iaquinto Smith | Registered Nurse | 22 Se 11th Ave Apt 103, Portland, OR 97214-1392 | 2020-08-18 |
| 1508484759 | Jennifer Campbell | Registered Nurse | 3710 Sw Us Veterans Hospital Rd Bldg 100, Portland, OR 97239-2964 | 2020-07-13 |
| 1104441153 | Keri Swanson | Registered Nurse | 617 Nw 112th Ave, Portland, OR 97229-6118 | 2020-06-15 |
| 1043834062 | Nalani Zoe Thompson | Registered Nurse | 635 Hwy 20 N, Suite #4, Hines, OR 97738 | 2020-06-05 |
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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.