MR. KACEY L ANDREASEN (NPI# 1215160510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215160510 |
| Entity Type | Individual |
| Full Name | MR. KACEY L ANDREASEN |
| Credential | PA-C |
| Practice Address |
1050 Sw 3rd Ave Ste 1200 Ontario OR 97914-4550 |
| Mailing Address |
2523 South 10th Avenue #103 Caldwell ID 83605 |
| Practice Telephone | 5418893111 |
| Practice Fax Number | 5418893999 |
| Mailing Telephone | 2084597788 |
| Mailing Fax Number | 2084553277 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1050 SW 3RD AVE STE 1200 |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1093024994 | Stephen Styadi | Physician Assistant | 1760 E Flora St, Ontario, CA 91764-4458 | 2010-09-27 |
| 1801127170 | Rafael Romero | Physician Assistant | 521 E Park St, Ontario, CA 91761-1724 | 2010-01-26 |
| 1306175021 | Lilian Y Chou | Physician Assistant | 1440 E Cedar St, Ontario, CA 91761-8300 | 2009-12-08 |
| 1235206483 | Leah Rose Zalsman | Physician Assistant | 1520 N. Moutain Ave Bldg F Suite 128, Ontario, CA 91762 | 2006-11-30 |
| 1518577394 | Matea Berria | Physician Assistant | 840 Sw 4th Ave, Ontario, OR 97914-2633 | 2020-08-05 |
| 1154971174 | Emily Grace Bond Russell | Physician Assistant | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2019-09-12 |
| 1053740290 | Courtney M Combe | Physician Assistant | 702 Sunset Dr, Ontario, OR 97914-3121 | 2013-11-07 |
| 1588907802 | Jennifer Shin Yim | Physician Assistant | 1650 S Euclid Ave, Ontario, CA 91762-5824 | 2013-04-04 |
| Find all providers in ONTARIO | ||||
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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.