TONI DAMEWOOD MSN PMHNP-BC (NPI# 1083025431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083025431 |
| Entity Type | Organization |
| Organization Name | TONI DAMEWOOD MSN PMHNP-BC |
| Practice Address |
770 Se Kane Street Roseburg OR 97470 |
| Mailing Address |
Po Box 458 Glide OR 97443 |
| Practice Telephone | 5416431638 |
| Mailing Telephone | 5416431638 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | TONI DAMEWOOD (NURSE PRACTITIONER) |
| Authorized Official Telephone | 5416431638 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201150169NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TONI DAMEWOOD MSN PMHNP-BC | 20172 North Umpqua Hwy, Glide, OR 97443 |
| Street Address |
770 SE KANE STREET |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| 1700180098 | Rebekah Anna Syverson | Nurse Practitioner | 1318 Cattle Dr, Roseburg, OR 97470 | 2010-12-31 |
| Find all providers in zip 97470 | ||||
| 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 |
|---|---|---|---|---|
| 1801978382 | Janet G. Eggers | Nurse Practitioner | 621 W. Madrone St, Roseburg, OR 97470-3090 | 2006-10-20 |
| 1629178835 | Ann R Sedlacek | Nurse Practitioner | 428 Se Chadwick St, Roseburg, OR 97470-4340 | 2006-09-25 |
| 1811327364 | Suellen Adams Mclaughlin | Nurse Practitioner | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2013-11-20 |
| 1215244793 | Carlie G Corbin | Nurse Practitioner | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2010-09-07 |
| 1942365812 | Nancy A West | Nurse Practitioner | 621 W Madrone St, Roseburg, OR 97470-3090 | 2006-12-22 |
| 1730298977 | Cassandra Mae Donlon-silvestri | Nurse Practitioner | 913 Nw Garden Vally Blvd, Roseburg Veterans Administration Health Care System, Roseburg, OR 97470 | 2006-08-30 |
| 1891803532 | Elizabeth A. Davis | Nurse Practitioner | 913 Nw Garden Valley Blvd, Mhc (200), Roseburg, OR 97470-6523 | 2006-08-25 |
| 1528093721 | Va Roseburg Health Care System | Nurse Practitioner | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-07-12 |
| 1992720965 | Tamara R Lee | Nurse Practitioner | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2006-07-12 |
| 1013949676 | Jo Ann G. Berenbach | Nurse Practitioner | 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470-6523 | 2006-07-06 |
| Find all providers in ROSEBURG | ||||
Please comment or provide details below to improve the information on TONI DAMEWOOD MSN PMHNP-BC.
| 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.