NELLYDA ANSLOW (NPI# 1225437734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225437734 |
Entity Type | Individual |
Full Name | NELLYDA ANSLOW |
Credential | NP |
Practice Address |
3680 Nw Samaritan Dr Corvallis OR 97330-3737 |
Mailing Address |
444 Nw Elks Dr Corvallis OR 97330-3745 |
Practice Telephone | 5417541150 |
Mailing Telephone | 5417541150 |
Enumeration Date | 2014-08-20 |
Last Update Date | 2017-01-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
201408083NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
201408083NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
200641338RN | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | OR DRIVERS LICENSE | 5451211 | 01 |
Street Address |
3680 NW SAMARITAN DR |
City | CORVALLIS |
State | OR |
Zip Code | 97330-3737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508852252 | Patricia Shannon Hopson | Internal Medicine | 3680 Nw Samaritan Dr, Corvallis, OR 97330 | 2005-09-27 |
1568007649 | Miriam Geneva Powell | Specialist/Technologist, Other | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-11-12 |
1043853948 | Elise Noel Bascom | Psychologist | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-10-23 |
1881252252 | Jennifer Marie Giles | Surgery | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-05-31 |
1316503774 | Naomi Elizabeth Shantz | Nurse Practitioner | 3680 Nw Samaritan Dr, Corvallis, OR 97330 | 2019-05-11 |
1134613110 | Maddison Marie Greaves | Dietitian, Registered | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2018-06-21 |
1831631522 | Joshua Bergh | Physician Assistant | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2016-11-10 |
1063961373 | Elisabeth Romatz Mahmud | Registered Nurse | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2016-09-27 |
1689127045 | Nicolette Rosendahl | Neuromusculoskeletal Medicine & OMM | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2016-08-02 |
1003271727 | Laura Luczkiw | Dietitian, Registered | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2015-12-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
Find all providers in zip 97330 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912998451 | Elizabeth A. Monson | Nurse Practitioner | 3600 Nw Samaritan Dr, Suite E350, Corvallis, OR 97330-3737 | 2005-11-03 |
1720082209 | Marian N Montoya-chick | Nurse Practitioner | 3627 Se Dockside Dr, Corvallis, OR 97333-9346 | 2005-06-13 |
1003239666 | Kim Schlessinger | Nurse Practitioner | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2014-01-31 |
1598019234 | Caroline J Zaworski | Nurse Practitioner | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3891 | 2012-11-02 |
1407976137 | Nancy Atwell Tuttle | Nurse Practitioner | 201 Plageman Bldg, Oregon State University, Corvallis, OR 97331-8567 | 2007-03-29 |
1609962448 | Elizabeth Anne Brown | Nurse Practitioner | 201 Plageman, Oregon State University Student Health, Corvallis, OR 97331-5801 | 2006-10-05 |
1013956036 | Maria R. Clark-harmon | Nurse Practitioner | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 | 2006-06-05 |
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 |
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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.