KIMBERLY JEAN POWELL (NPI# 1104126861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104126861 |
Entity Type | Individual |
Full Name | KIMBERLY JEAN POWELL |
Credential | CNM |
Practice Address |
444 Nw Elks Dr Corvallis OR 97330-3745 |
Practice Telephone | 5417541150 |
Mailing Telephone | 5417541150 |
Enumeration Date | 2010-10-28 |
Last Update Date | 2018-04-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
8399023-4405 | UT | Nursing Service Providers |
N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
NP2618 | CA | Nursing Service Providers |
N | 176B00000X | Midwife | NM1319 | CA | Other Service Providers |
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
201800946NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 367A00000X | Advanced Practice Midwife | 201406025NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 367A00000X | Advanced Practice Midwife | 8399023-44 | UT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013534569 | Kimberly Powell | Licensed Practical Nurse | 11341 203rd St, Saint Albans, NY 11412-2532 | 2020-07-01 |
1306356803 | Kimberly Sue Powell | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2017-10-10 |
1952829558 | Kimberly Powell | Physical Therapy Assistant | 305 E Oak Street, Apopka, FL 32703 | 2017-09-03 |
1881951192 | Kimberly Powell | Occupational Therapy Assistant | 339 E Stardust Dr, Pueblo West, CO 81007-1612 | 2012-04-12 |
1710120100 | Kimberly Powell | Counselor | 2216 Georgetown Dr, Denton, TX 76201-0737 | 2009-04-14 |
1720285505 | Kimberly Dawn Powell | Counselor | 1749 Hewitt Rd, Wilson, OK 73463-1875 | 2007-06-27 |
1760032288 | Kimberly Powell | Counselor | 70 S River St, Aurora, IL 60506-5185 | 2019-09-17 |
1821657834 | Kimberly Ann Powell | Registered Nurse | 8610 N New Braunfels Ave Ste 405, San Antonio, TX 78217-6358 | 2019-06-12 |
1205326477 | Kimberly Dawn Powell | Nurse Practitioner | 721 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2018-05-14 |
1740788488 | Kimberly Powell | Licensed Practical Nurse | 278 Broadway Ave, Youngstown, OH 44504-1752 | 2018-01-29 |
Street Address |
444 NW ELKS DR |
City | CORVALLIS |
State | OR |
Zip Code | 97330-3745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891790952 | Shelly R Svoboda | Psychiatry & Neurology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2005-06-16 |
1770098659 | Heather Lauren Herman | Nurse Practitioner | 444 Nw Elks Dr, Corvallis, OR 97330 | 2017-12-13 |
1033642020 | Beth Anne Rathbun | Physician Assistant | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2017-04-06 |
1649678434 | Diane Wendel Habel | Social Worker | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2014-12-11 |
1912317751 | Caitlin Deede | Registered Nurse | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2014-05-01 |
1851722706 | Nelson Joseph Binggeli | Psychologist | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2013-12-03 |
1396087110 | Bryce Andrew Allio | Urology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2013-03-19 |
1699040311 | Kristen Workman | Specialist/Technologist, Other | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2012-03-13 |
1295013613 | Gregory Allen Richard | Ophthalmology | 444 Nw Elks Dr, Corvallis, OR 97330 | 2011-08-02 |
1083904304 | Keith Ryan Wells | Internal Medicine | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2011-04-08 |
Find all providers in the same location |
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 | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760531263 | Christine Schneller | Nurse Practitioner | Oregon State University, Student Health, 201 Plageman, Corvallis, OR 97331-5801 | 2007-01-10 |
1457311086 | Anna M Jones | Nurse Practitioner | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2006-03-27 |
1962478867 | Redeem Faller O'reilly | Nurse Practitioner | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2006-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760043673 | Tracy Lee Stevens | Nurse Practitioner | 2222 Ne 130th Ave, Portland, OR 97230-1705 | 2019-06-23 |
1093292971 | Tracie Lynn Wright | Nurse Practitioner | 572 Barton Rd, Eagle Point, OR 97524-4405 | 2018-07-24 |
1780048124 | Degrazia Wellness, LLC | Nurse Practitioner | 3210 Hillcrest Park Dr, Suite 100, Medford, OR 97504-7693 | 2016-04-12 |
1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
1013307685 | Christa Elane Degrazia | Nurse Practitioner | 146 Clear Creek Dr, Suite 350, Ashland, OR 97520-1851 | 2015-02-03 |
1699186395 | Jennifer Marie Kowalczyk | Nurse Practitioner | 715 Nw Dimmick St, Grants Pass, OR 97526-1536 | 2014-05-15 |
1558782318 | Rebecca M Meek | Nurse Practitioner | 2430 S 6th St, Klamath Falls, OR 97601-4342 | 2013-12-21 |
1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
1689004053 | Kendra Parkin | Nurse Practitioner | 12220 Sw 1st St, Suite 200, Beaverton, OR 97005-2889 | 2013-11-20 |
1467742205 | Jennifer Lynda Roberson | Nurse Practitioner | 12550 Sw 2nd St, Beaverton, OR 97005-0519 | 2011-04-13 |
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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.