SOUTHERN OREGON AESTHETICS AND WELLNESS, LLC (NPI# 1174920789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174920789 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OREGON AESTHETICS AND WELLNESS, LLC |
| Practice Address |
5005 Tolo Rd Central Point OR 97502-9335 |
| Practice Telephone | 7607310313 |
| Practice Fax Number | 7607310414 |
| Mailing Telephone | 7607310313 |
| Mailing Fax Number | 7607310414 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | MRS. MONIQUE A NOYES (OWNER) |
| Authorized Official Telephone | 5418408487 |
| Authorized Official Credential | F-NP/RNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200850143NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RN FIRST ASSISTANT | 098000578RN | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SOUTHERN OREGON AESTHETICS AND WELLNESS, LLC | 55 South 5th St Ste B, Central Point, OR 97502 |
| Street Address |
5005 TOLO RD |
| City | CENTRAL POINT |
| State | OR |
| Zip Code | 97502-9335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013459734 | Rebuilding Together Rogue Valley | Home Health | 421 Stone Pointe Drive, Central Point, OR 97502 | 2016-11-11 |
| 1801262431 | Kathleen Marie Vandevender | Behavioral Analyst | 153 Wind Song Drive, Central Point, OR 97502 | 2015-08-18 |
| 1356735112 | Nikole Mcewen | Behavioral Analyst | 2030 Taylor Rd, Central Point, OR 97502 | 2015-03-19 |
| 1619368636 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 200 W Pine St, Central Point, OR 97502 | 2015-02-12 |
| 1124429360 | Sarah Jean North | Massage Therapist | 2463 Saint James Way, Central Point, OR 97502 | 2014-09-08 |
| 1972928034 | Jennifer Joe-anne Marks | Registered Nurse | 312 Oak St. Ste #205, Central Point, OR 97502 | 2014-02-26 |
| 1578991527 | Lawrence Gerald Whittington | Behavioral Analyst | 6340 Honey Tree Ln., Central Point, OR 97502 | 2013-10-29 |
| 1093141582 | Samuel Joseph Hicks | Behavioral Analyst | 4434 Corey Road, Central Point, OR 97502 | 2013-09-17 |
| 1598191074 | Kathie Ellen Moss | Behavioral Analyst | 5315 Teresa Way, Central Point, OR 97502 | 2013-09-17 |
| 1831525336 | Becky Kay Lunsford | Behavioral Analyst | 640 S. 2nd Street, Family Solutions, Central Point, OR 97502 | 2013-09-17 |
| Find all providers in zip 97502 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710071329 | Jill D Celestskye | Nurse Practitioner | 1955 Scenic Ave, Central Point, OR 97502-1652 | 2006-10-03 |
| 1336591197 | Kelly Irene Wells | Nurse Practitioner | 870 S Front St, Suite 200, Central Point, OR 97502-2779 | 2016-07-05 |
| 1154795508 | Carla N Overstreet | Nurse Practitioner | 870 S Front St, Ste 200, Central Point, OR 97502-2779 | 2015-11-23 |
| 1740538156 | Nathaniel S Brown | Nurse Practitioner | 870 S Front St Ste 200, Central Point, OR 97502-2779 | 2012-08-16 |
| 1033490784 | Erin M Schorran | Nurse Practitioner | 4940 Hamrick Rd, Sn-adm, Central Point, OR 97502-3072 | 2011-09-07 |
| 1487828190 | Jodeanna Marie Sweeney | Nurse Practitioner | 870 S Front St, Suite 200, Central Point, OR 97502-2779 | 2008-04-15 |
| 1386650398 | Kelli Ann Lafleur | Nurse Practitioner | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
| 1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
| 1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
| 1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
| 1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL POINT |
| Zip Code | 97502 |
Please comment or provide details below to improve the information on SOUTHERN OREGON AESTHETICS AND WELLNESS, LLC.
| 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.