SHARON DIXIE MCCONNELL (NPI# 1083693295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083693295 |
| Entity Type | Individual |
| Full Name | SHARON DIXIE MCCONNELL |
| Other Name | SHARON DIXIE JONAS |
| Credential | RN |
| Practice Address |
9911 Se Mount Scott Blvd Portland OR 97266-6302 |
| Practice Telephone | 8017033482 |
| Mailing Telephone | 8017033482 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2007-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN-301406 | OH | Nursing Service Providers |
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
353858-3102 | UT | Nursing Service Providers |
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RN LICENSE | RN-301406 | 01 |
| UT | RN LICENSE | 353858-3102 | 01 |
| Street Address |
9911 SE MOUNT SCOTT BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078683 | Kevin Brezler | Assistant Behavior Analyst | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-06-23 |
| 1699395061 | Madison Baker | Student in an Organized Health Care Education/Training Program | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-04-25 |
| 1134749500 | Rebecca Mae Williams | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-04-25 |
| 1194365056 | Victoria Gettel | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-01-08 |
| 1285273623 | Nelyda Saxton | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-01-02 |
| 1285279455 | Kyle Adelaide White | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-11-12 |
| 1225671837 | Justin Anthony Ingleton X | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-10-26 |
| 1972146389 | Jessica Romero-garcia | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-10-18 |
| 1568010379 | Paige Craine | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-08-27 |
| 1215480827 | Andrea Frances Holt | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2016-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376888479 | Jill Marie Riffe | Registered Nurse | 10633 Se Flavel St, Portland, OR 97266-6026 | 2012-11-30 |
| 1538795984 | Jesse Eli Stanley | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-03-17 |
| 1851950372 | Kathleen Polito | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-06-08 |
| 1235651233 | Erin Pauline Marie Tuss | Registered Nurse | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-07-11 |
| 1124370200 | Robin Miller | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-10-12 |
| 1396999421 | Nathan Harris | Registered Nurse | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2008-11-17 |
| 1316977903 | Sharon D Kennedy | Registered Nurse | 4805 Ne Glisan St, 3e, Portland, OR 97213-2933 | 2006-07-03 |
| 1093794687 | Kathleen A Walker | Registered Nurse | 1776 Sw Madison St, Portland, OR 97205-1715 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376181313 | Silvia Maciel | Registered Nurse | 1151 May St Ste 201, Hood River, OR 97031-1526 | 2019-12-19 |
| 1982124970 | Brenda Backhaus | Registered Nurse | 5935 Sladen Ave, Gladstone, OR 97027-1952 | 2017-06-21 |
| 1568906550 | Nancy Jane Spiegel | Registered Nurse | 13925 Sw Bonnie Brae Ct, Beaverton, OR 97005-4320 | 2016-12-08 |
| 1356707624 | Timothy Lee Unger | Registered Nurse | 3785 Se 317th Ave, Troutdale, OR 97060-9401 | 2016-01-02 |
| 1124319306 | Julie Ann Brown | Registered Nurse | 2765 Sw 24th St, Gresham, OR 97080-5207 | 2011-04-22 |
| 1922215698 | Ellen G. Frichette | Registered Nurse | 1339 Ne Ford St, Mcminnville, OR 97128-3634 | 2007-05-16 |
| 1942256730 | Elaine Marian Hooper | Registered Nurse | 385 Ranch Road, Reedsport, OR 97467 | 2006-05-25 |
| 1285698555 | Jacqualine M Terrill Cooke | Registered Nurse | 320 Se Baker St, Mcminnville, OR 97128-6038 | 2006-04-13 |
| 1831183326 | Warren Thomas Roseland Jr. | Registered Nurse | 2225 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471-1650 | 2005-09-12 |
| 1588275275 | Brenda Kay Koger | Registered Nurse | 16865 Boones Ferry Rd, Lake Oswego, OR 97035-5280 | 2020-08-14 |
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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.