STASHA ANNE HORNBECK (NPI# 1144210949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144210949 |
| Entity Type | Individual |
| Full Name | STASHA ANNE HORNBECK |
| Credential | MS, RD, LD, CDE |
| Practice Address |
9800 Se Sunnyside Rd Clackamas OR 97015-9750 |
| Practice Telephone | 5035713040 |
| Practice Fax Number | 5035713095 |
| Mailing Telephone | 5035713040 |
| Mailing Fax Number | 5035713095 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2011-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 860 | OR | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 028078 | 05 | |
| WA | 8440547 | 05 |
| Street Address |
9800 SE SUNNYSIDE RD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-9750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283620 | Aaron Joseph David | Student in an Organized Health Care Education/Training Program | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2020-01-03 |
| 1902469281 | Brooke N Garofalo | Student in an Organized Health Care Education/Training Program | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2019-04-22 |
| 1144789777 | Amber Sue Osborn | Registered Nurse | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2019-03-13 |
| 1841770013 | Ellen Anderson | Occupational Therapist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2018-08-17 |
| 1447747266 | Keri Lynne Barnett | Registered Nurse | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2018-04-17 |
| 1437671617 | Amber Marie Morrison | Physician Assistant | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2017-07-10 |
| 1649715947 | Nora E Lee | Pharmacist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-12-22 |
| 1679017081 | Kristin Kruskamp | Pharmacist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-12-05 |
| 1902348857 | Michaela Zucker | Dietitian, Registered | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-11-09 |
| 1174075527 | Erin Skoff | Pharmacist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919323 | John Ellis Gobble | Dietitian, Registered | 8800 Se Sunnyside Rd, Suite 215-s, Clackamas, OR 97015-5738 | 2005-06-01 |
| 1639702954 | Kendra Vos Becker | Dietitian, Registered | 8800 Se Sunnyside Rd Ste 224s, Clackamas, OR 97015-5770 | 2020-02-14 |
| 1407362304 | Melissa Martutartus | Dietitian, Registered | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2017-12-14 |
| 1326558420 | Melissa Misley | Dietitian, Registered | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2017-10-04 |
| 1952845547 | Sara L O'leary | Dietitian, Registered | 8800 Se Sunnyside Rd, Suite 224-s, Clackamas, OR 97015-5738 | 2016-12-15 |
| 1902348857 | Michaela Zucker | Dietitian, Registered | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-11-09 |
| 1811332042 | Jennifer Elaine Netzlof | Dietitian, Registered | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2013-05-01 |
| 1356689863 | Sarah Lynn Anthony | Dietitian, Registered | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2013-01-18 |
| 1588922843 | Molly A Brooks-jennings | Dietitian, Registered | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-04-24 |
| 1053681338 | Angela Koon Major | Dietitian, Registered | 13568 Se 97th Ave, Clackamas, OR 97015-6670 | 2012-01-04 |
| Find all providers in CLACKAMAS | ||||
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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.