MR. KELLY MCCORMICK (NPI# 1164552998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164552998 |
| Entity Type | Individual |
| Full Name | MR. KELLY MCCORMICK |
| Credential | BC-HIS |
| Practice Address |
1939 E Burnside St Portland OR 97214-1535 |
| Practice Telephone | 5032336141 |
| Practice Fax Number | 5032332889 |
| Mailing Telephone | 5032336141 |
| Mailing Fax Number | 5032332889 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237700000X | Hearing Instrument Specialist | HA00002483 | WA | Speech, Language and Hearing Service Providers |
| Y | 237700000X | Hearing Instrument Specialist | HAS-P-353618 | OR | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477905966 | Kelly J Mccormick | Speech-Language Pathologist | 1359 Plum Creek Dr, Bourbonnais, IL 60914-1533 | 2016-07-07 |
| 1801264528 | Kelly J Mccormick | Counselor | 8810 Torchwood Dr, Trinity, FL 34655-5333 | 2015-09-11 |
| 1851490650 | Kelly A Mccormick | Chiropractor | 5101 Old Highway 5 Ste 1, Woodstock, GA 30188 | 2006-09-21 |
| 1801431259 | Kelly Ann Mccormick | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2019-11-08 |
| 1790347961 | Kelly Mccormick | Counselor | 55 Dodge Rd, Getzville, NY 14068-1205 | 2019-07-08 |
| 1447815857 | Kelly Nicole Mccormick | Nurse Practitioner | 1401 Nicholasville Rd, Lexington, KY 40503-1140 | 2019-05-01 |
| 1497102784 | Kelly Alexander Mccormick | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II; Suite 106, Birmingham, AL 35211-1333 | 2016-05-17 |
| 1922455328 | Kelly Mccormick | Physical Therapist | 3201 Farnam St Ste 6110, Omaha, NE 68131-3405 | 2016-05-16 |
| 1932534039 | Kelly Mccormick | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2013-09-08 |
| 1770867335 | Kelly Mccormick | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2011-09-30 |
| Street Address |
1939 E BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679583660 | Mccrae Management & Investment, Ltd | Hearing Aid Equipment | 1939 E Burnside St, Portland, OR 97214-1535 | 2006-08-09 |
| 1861842528 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 1939 E Burnside St, Portland, OR 97214-1535 | 2016-06-14 |
| 1982093381 | Ns Hearing Network | Hearing Aid Equipment | 1939 E Burnside St, Portland, OR 97214-1535 | 2015-01-22 |
| 1386082535 | Leah Paige Drullinger | Audiologist-Hearing Aid Fitter | 1939 E Burnside St, Portland, OR 97214-1535 | 2013-06-10 |
| 1962672543 | Jessica Zabaldo | Hearing Instrument Specialist | 1939 E Burnside St, Portland, OR 97214-1535 | 2008-03-10 |
| 1609991256 | Charles Inman | Hearing Instrument Specialist | 1939 E Burnside St, Portland, OR 97214-1535 | 2007-03-20 |
| 1912037375 | Scott L Austin | Hearing Instrument Specialist | 1939 E Burnside St, Portland, OR 97214-1535 | 2007-03-06 |
| 1720118151 | Christine Jane Moulton | Audiologist-Hearing Aid Fitter | 1939 E Burnside St, Portland, OR 97214-1535 | 2007-03-06 |
| 1811027196 | Robert A Klein | Audiologist-Hearing Aid Fitter | 1939 E Burnside St, Portland, OR 97214-1535 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295201341 | Alyssa M Bartlett | Hearing Instrument Specialist | 2100 Ne Broadway St Ste 305, Portland, OR 97232-1570 | 2018-10-16 |
| 1235656265 | Jacob Paul Tauzin | Hearing Instrument Specialist | 5455 Se 91st Ave, Portland, OR 97266-4603 | 2017-08-30 |
| 1689075087 | Hearing Solutions Northwest, LLC. | Hearing Instrument Specialist | 1730 Sw Skyline Blvd Ste 110, Portland, OR 97221-2547 | 2014-09-04 |
| 1073913760 | Christina Marie York | Hearing Instrument Specialist | 1500 Wildcat Dr Ste B, Portland, TX 78374-2826 | 2014-08-29 |
| 1013337112 | Max Clark | Hearing Instrument Specialist | 11919 Ne Glisan St, Portland, OR 97220-2144 | 2014-04-16 |
| 1487999199 | Spencer L Snow | Hearing Instrument Specialist | 1737 Ne 42nd Ave, Portland, OR 97213-1526 | 2012-12-06 |
| 1740555655 | Duane L Smelser | Hearing Instrument Specialist | 4921 Sw 76th Ave, Portland, OR 97225-1805 | 2012-03-12 |
| 1285948398 | Robert J Augur Jr. | Hearing Instrument Specialist | 11942 Ne Glisan St, Portland, OR 97220-2143 | 2010-07-30 |
| 1275854804 | Darin T Scheurer | Hearing Instrument Specialist | 6723 Sw 12th Ave, Portland, OR 97219-2001 | 2010-06-17 |
| 1659696797 | Michael Spain | Hearing Instrument Specialist | 10570 Se Washinton St, Ste 210, Portland, OR 97216 | 2010-04-01 |
| Find all providers in PORTLAND | ||||
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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.