KELSEY ROLLINS (NPI# 1124533161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124533161 |
| Entity Type | Individual |
| Full Name | KELSEY ROLLINS |
| Practice Address |
610 Dragon Dr Monroe OR 97456-9604 |
| Mailing Address |
530 Nw 27th St Corvallis OR 97330-5223 |
| Practice Telephone | 5417666000 |
| Practice Fax Number | 5417666047 |
| Mailing Telephone | 5417666835 |
| Mailing Fax Number | 5417666186 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
2497428 | OR | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235368 | Kelsey Rollins | Behavior Technician | 3229 S Cherokee Ln, Woodstock, GA 30188-4461 | 2020-08-12 |
| Street Address |
610 DRAGON DR |
| City | MONROE |
| State | OR |
| Zip Code | 97456-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235299140 | Benton County | Clinic/Center | 610 Dragon Dr, Monroe, OR 97456-9604 | 2006-12-11 |
| 1124594080 | Doninica N Roberts | Registered Nurse | 610 Dragon Dr, Monroe, OR 97456-9604 | 2018-10-18 |
| 1548778905 | Gabriella Meza | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2018-01-18 |
| 1982130597 | Carol Ann Shu | Student in an Organized Health Care Education/Training Program | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-05-03 |
| 1659805653 | Daniella Gonzallez Castillo | Nurse's Aide | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-04-17 |
| 1467997221 | Onesimo Torres Giron | Community Health Worker | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-01-03 |
| 1700234671 | Kaci King | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2016-06-01 |
| 1295924009 | Sandra Veronick | Social Worker | 610 Dragon Dr, Monroe, OR 97456-9604 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114482080 | Nicole Cutting Louie | Massage Therapist | 24990 Orchard Tract Rd, Monroe, OR 97456-8413 | 2019-02-05 |
| 1114225315 | Peter John Cannon | Anesthesiology | 24931 Larson Rd, Monroe, OR 97456-8713 | 2011-03-11 |
| 1790166957 | Elizabeth Williams | Pharmacist | 24614 Williams Rd, Monroe, OR 97456-9437 | 2015-06-13 |
| 1588190193 | Samantha Aldabe | Licensed Practical Nurse | 26889 Reiling Ave, Monroe, OR 97456-9459 | 2017-05-03 |
| 1639389638 | Monroe School District 1j | Local Education Agency (LEA) | 365 N 5th St, Monroe, OR 97456-9506 | 2007-05-22 |
| 1083026884 | Kyle Isaacs | Dental Hygienist | 24386 Bunker Hill Rd, Monroe, OR 97456-9745 | 2014-05-28 |
| 1609076611 | Kathryn Lynn Collins | Counselor | 24282 Bunker Hill Rd, Monroe, OR 97456-9745 | 2007-07-19 |
| 1033593066 | Miles 2 Smiles, LLC | Dental Hygienist | 24386 Bunker Hill Rd, Monroe, OR 97456-9745 | 2015-07-20 |
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528233483 | Universal Care LLC | Technician | 5717 Desiard St, Suite C, Monroe, LA 71203-4793 | 2008-04-22 |
| 1477646180 | Forrest O'neal | Technician | 4780 South Grand Street, Monroe, LA 71202 | 2006-10-02 |
| 1548778905 | Gabriella Meza | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2018-01-18 |
| 1700234671 | Kaci King | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2016-06-01 |
| 1073778791 | Ann's Helping Hands | Technician | 7207 Desiard St, Ste 30, Monroe, LA 71203-3914 | 2008-07-22 |
| 1891954640 | Blessing Heart Care Service | Technician | 250 Country Club Blvd, Monroe, LA 71202-7302 | 2008-06-06 |
| 1013176148 | Blessing Heart Care Service | Technician | 250 Country Club Blvd, Monroe, LA 71202-7302 | 2008-06-04 |
| 1245498526 | Advanced Health Care Services Inc | Technician | 7207 Desiard St, Suite 20, Monroe, LA 71203-3914 | 2008-05-23 |
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|---|---|---|---|---|
| 1619575388 | Sierra N Thomas | Technician | 3827 Pine St Se, Albany, OR 97322-6161 | 2020-10-14 |
| 1275157190 | Camille R Hernandez | Technician | 1940 Sw Forest Ridge Ave, Bend, OR 97702-1917 | 2020-06-05 |
| 1790308567 | Christina Marie La Fon | Technician | 2280 Ne Cherry Loop, Prineville, OR 97754-9328 | 2020-05-27 |
| 1033738109 | Irene Sanae Higashi-breshears | Technician | 1000 Ne 10th Ave, Canby, OR 97013-3207 | 2020-04-09 |
| 1841822996 | Beverley Ann Service | Technician | 2355 Morrow Ct Nw, Salem, OR 97304-1763 | 2020-02-06 |
| 1669019444 | Rebecca Baxter | Technician | 300 Boulder Falls Dr Apt E117, Lebanon, OR 97355-2882 | 2019-11-29 |
| 1477199537 | Shane A Marx | Technician | 6200 Poplar Ln, Independence, OR 97351-9659 | 2019-11-25 |
| 1114563459 | Cecilia Dwigans | Technician | 485 Colonial Ct, Tillamook, OR 97141-6100 | 2019-11-21 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1396389714 | Linda Lee Parker | Technician | 468 Palmer Dr N, Keizer, OR 97303-7424 | 2019-10-29 |
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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.