MS. AMY JO DOBSON (NPI# 1215444039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215444039 |
| Entity Type | Individual |
| Full Name | MS. AMY JO DOBSON |
| Credential | MCHES QMHA-I CDCES |
| Practice Address |
348 W Adams St Burns OR 97720-1710 |
| Practice Telephone | 5415738376 |
| Practice Fax Number | 5415738378 |
| Mailing Telephone | 5415738376 |
| Mailing Fax Number | 5415738378 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
19-QMHA-I-02398 | OR | Behavioral Health & Social Service Providers |
| N | 132700000X | Dietary Manager | 226395 | Dietary & Nutritional Service Providers | |
| Y | 136A00000X | Dietetic Technician, Registered | 1050243 | Dietary & Nutritional Service Providers | |
| N | 172V00000X | Community Health Worker | OR | Other Service Providers | |
| N | 174H00000X | Health Educator | 12674 | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720478605 | Amy Dobson | Counselor | 109 S 10th St, Lexington, MO 64067-1364 | 2015-01-29 |
| 1902885023 | Amy Toburen Dobson | Genetic Counselor, MS | 1911 Thurmond Mall, Columbia, SC 29201-2375 | 2006-01-17 |
| Street Address |
348 W ADAMS ST |
| City | BURNS |
| State | OR |
| Zip Code | 97720-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205967288 | Carol L Adams | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2007-03-08 |
| 1144862640 | Angela Beth Temple | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2019-10-16 |
| 1669020400 | Maggie Thompson | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2019-08-26 |
| 1356905913 | Beth Galadriel Diamond | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2019-04-29 |
| 1306400965 | Amber Leigh Wares | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2019-04-29 |
| 1609330208 | Deanna Dawn Thrall | Community Health Worker | 348 W Adams St, Burns, OR 97720-1710 | 2019-01-28 |
| 1437629789 | Ryan Gunderson | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2018-11-29 |
| 1205301959 | Michole Thane | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2018-10-09 |
| 1720563513 | Edward Roy Moulton | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2018-09-27 |
| 1225524325 | Mary Hayes | Peer Specialist | 348 W Adams St, Burns, OR 97720-1710 | 2018-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489388 | Courtney Colleen Mcmullen | Speech-Language Pathologist | 860 N. Court Ave, Burns, OR 97720 | 2020-02-19 |
| 1194900399 | Arntz Medical | Nursing Facility/Intermediate Care Facility | 229 N Egan, Burns, OR 97720 | 2008-01-07 |
| 1831231414 | County of Harney | Preventive Medicine | 420 N. Fairview, Burns, OR 97720 | 2007-02-12 |
| 1902956006 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-11 |
| 1497747745 | Ladd Shaner | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2005-08-22 |
| 1700448032 | Allegiant Integrative Medicine | General Practice | 229 N Egan Ave, Burns, OR 97720 | 2019-07-08 |
| 1386008696 | Brittnee Zmuda | Student in an Organized Health Care Education/Training Program | 5005 N Piedras Street, El Paso, TX 97720 | 2016-04-12 |
| 1689812620 | County of Harney | Public Health or Welfare | 420 N. Fairview, Burns, OR 97720 | 2009-01-29 |
| 1912112293 | Richard Thein | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2007-05-11 |
| 1124178868 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-12 |
| Find all providers in zip 97720 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831506815 | Robert Wilson | Dietetic Technician, Registered | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2014-07-22 |
| 1912275009 | Kendra J Madsen | Dietetic Technician, Registered | 3517 Nw Samaritan Dr Ste 200, Corvallis, OR 97330-3767 | 2011-12-05 |
| 1295974517 | Kathleen Bosler | Dietetic Technician, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2009-02-10 |
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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.