SIRAH NICOLE BRAUTIGAM (NPI# 1205447216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205447216 |
| Entity Type | Individual |
| Full Name | SIRAH NICOLE BRAUTIGAM |
| Practice Address |
2120 Table Rock Rd Apt 23 Medford OR 97501-1458 |
| Practice Telephone | 5416900521 |
| Mailing Telephone | 5416900521 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
2120 TABLE ROCK RD APT 23 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396372546 | Laura L Cassidy | Technician | 4074 S Pacific Hwy Spc 36, Medford, OR 97501-9026 | 2020-03-26 |
| 1447504238 | Jin Ah Lee | Technician | 34 Blackpine Dr, Medford, NY 11763-4103 | 2012-11-01 |
| 1225363674 | Georgiana Chevry | Technician | 7 Berwick Rd, Medford, MA 02155-6017 | 2009-10-02 |
| 1902065154 | Cheyenne Glenn | Technician | 123 N Ivy St, Medford, OR 97501-2723 | 2008-06-03 |
| 1255398947 | Sally Rae Niziol | Technician | Highway 64, W6604, Medford, WI 54451 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411808 | Ashley E Wright | Technician | 1350 Charnelton St Apt 9, Eugene, OR 97401-3964 | 2020-03-09 |
| 1245862994 | Tanika Barsegian | Technician | 15311 Se River Forest Dr, Portland, OR 97267-3501 | 2020-02-11 |
| 1992356133 | Lorraine Watkins | Technician | 92295 Youngs River Rd, Astoria, OR 97103-8352 | 2019-09-27 |
| 1740831627 | Edith Joan Marti | Technician | 304 Se 162nd Ave Apt 405, Portland, OR 97233-3866 | 2019-09-23 |
| 1235787383 | Lindsay Mcleod | Technician | 1117 Van Buren St, Eugene, OR 97402-4733 | 2019-09-02 |
| 1134789928 | Rosaura Salazar Sanchez | Technician | 2441 E Irwin Way, Eugene, OR 97402-6401 | 2019-06-14 |
| 1740840628 | Maria Guadalupe Iboa Montes | Technician | 1085 W 1st Ave Unit M, Junction City, OR 97448-1029 | 2019-06-13 |
| 1851808505 | Irilla Mae Lemaster | Technician | 85961 Edenvale Rd Spc 41, Pleasant Hill, OR 97455-9741 | 2018-01-03 |
| 1174871511 | Richard Brown | Technician | 931 Juanita Way, Central Point, OR 97502-2883 | 2012-08-15 |
| 1396030250 | Virginia Nelson | Technician | 14255 Sw Brigadoon Ct Ste 80, Beaverton, OR 97005-3368 | 2011-06-17 |
| 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.