SUSAN HOMOLKA (NPI# 1174660179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174660179 |
Entity Type | Individual |
Full Name | SUSAN HOMOLKA |
Credential | ANP |
Practice Address |
1670 High St Eugene OR 97401-4151 |
Mailing Address |
3456 Olympic St Springfield OR 97478-5574 |
Practice Telephone | 5413449411 |
Mailing Telephone | 5417297774 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2009-07-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
200350028NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 292793 | 05 |
Street Address |
1670 HIGH ST |
City | EUGENE |
State | OR |
Zip Code | 97401-4151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386945681 | Planned Parenthood of Southwestern Oregon | Clinic/Center | 1670 High St, Eugene, OR 97401-4151 | 2010-11-03 |
1821132978 | Jacqueline Anne Barbour | Obstetrics & Gynecology | 1670 High St, Eugene, OR 97401-4151 | 2007-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
Find all providers in zip 97401 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811268154 | Tabitha Ann Childers | Nurse Practitioner | 120 Shelton Mcmurphey Blvd Ste 300, Eugene, OR 97401-8718 | 2012-01-18 |
1083787949 | Gayle Ann Hand | Nurse Practitioner | 390 W 12th Ave, Eugene, OR 97401-3449 | 2006-11-16 |
1750351813 | Joanne E Lutz | Nurse Practitioner | 1355 Oak St Ste 100, Eugene, OR 97401-3566 | 2006-01-23 |
1891286944 | Jade Carboy | Nurse Practitioner | 890 River Rd, Eugene, OR 97404-3233 | 2018-05-24 |
1366997355 | Natalia Hayes | Nurse Practitioner | 2650 Suzanne Way, Eugene, OR 97408-7319 | 2016-08-18 |
1851707814 | Morgan Krista Shasteen | Nurse Practitioner | 1255 Hilyard St, Eugene, OR 97401-3718 | 2014-07-10 |
1467693093 | James Edward Sims | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2009-03-11 |
1518184985 | Jolene Siemsen | Nurse Practitioner | 1232 University of Oregon, University Health Center, Eugene, OR 97403-1205 | 2007-04-19 |
1639225006 | Elizabeth Anne Hubbard Mattson | Nurse Practitioner | 1232 University of Oregon, Health Center, Eugene, OR 97403-1232 | 2007-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
Find all providers with the same taxonomy |
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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.