NELLYDA ANSLOW


Address: 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737
Phone: 5417541150

NELLYDA ANSLOW (NPI# 1225437734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OR OR DRIVERS LICENSE 5451211 01

Office Location

Street Address 3680 NW SAMARITAN DR
City CORVALLIS
State OR
Zip Code 97330-3737

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City CORVALLIS
Zip Code 97330

Improve Information

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Dataset Information

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.

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