CASEY LULAY


Address: 2485 12th St Se, Salem, OR 97302-2151
Phone: 5033638047

CASEY LULAY (NPI# 1295151686) 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) 1295151686
Entity Type Individual
Full Name CASEY LULAY
Credential FNPC
Practice Address 2485 12th St Se
Salem
OR 97302-2151
Practice Telephone 5033638047
Practice Fax Number 5033636571
Mailing Telephone 5033638047
Mailing Fax Number 5033636571
Enumeration Date 2014-03-10
Last Update Date 2017-04-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 201404020NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP60451155 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2485 12TH ST SE
City SALEM
State OR
Zip Code 97302-2151

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962409888 Harmon Thomas Harvey Jr. Internal Medicine 2485 12th St Se, Salem, OR 97302-2151 2005-07-07
1770133506 Stacie Naseem Chance Registered Nurse 2485 12th St Se, Salem, OR 97302-2151 2019-09-13
1326458530 Margaret Ellen Ayers-johnson Physician Assistant 2485 12th St Se, Salem, OR 97302-2151 2014-04-28
1821339862 Christine J Rue Physician Assistant 2485 12th St Se, Salem, OR 97302-2151 2013-03-14
1861794893 Steven Lionell Lewis Jr. Physician Assistant 2485 12th St Se, Salem, OR 97302-2151 2010-11-23
1124352877 Wvp Medical Group, LLC Family Medicine 2485 12th St Se, Salem, OR 97302-2151 2009-09-29
1700046596 Jerrod Carl Mitzel Family Medicine 2485 12th St Se, Salem, OR 97302-2151 2008-06-15
1043408024 Christine Wung Psychologist 2485 12th St Se, Wvp Boulder Creek, Salem, OR 97302 2007-10-04
1306909288 Douglas D. Eliason Family Medicine 2485 12th St Se, Salem, OR 97302-2151 2006-12-19
1619914371 Jeffrey L Turcot Family Medicine 2485 12th St Se, Salem, OR 97302-2151 2006-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
Find all providers in zip 97302

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285247908 Tracy Jean Payton Nurse Practitioner 3898 Lee Road 250, Salem, AL 36874-1450 2020-08-24
1437775137 Krista Michelle Brinkerhoff Nurse Practitioner 636 N 220 E, Salem, UT 84653-5553 2020-06-18
1851913271 Rossiel Pita-roman Nurse Practitioner 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 2020-05-07
1487292157 Kelly Daily Morris Nurse Practitioner 5915 Port Stewart Ct Se, Salem, OR 97306-9034 2019-12-12
1174087985 Brenda Gott Nurse Practitioner 3103 Hh Highway, Salem, MO 65560 2019-01-25
1992277594 Shelisa Rena Taylor Nurse Practitioner 1126 Lee Road 250, Salem, AL 36874-1373 2018-12-19
1811472426 Kathryn B Powell Nurse Practitioner 400 Highland Ave Ste 1, Salem, MA 01970-1783 2018-09-28
1609367077 Jennifer Turner Nurse Practitioner 225 Sunbridge Drive, Salem, WV 26426 2018-05-22
1174042535 Elizabeth Keane Nurse Practitioner 9 Riverbank Rd, Salem, MA 01970-5311 2017-09-15
1346766292 Scott Adam Pasquale Nurse Practitioner 331r Highland Ave, Salem, MA 01970-1738 2017-08-22
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Competitor

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City SALEM
Zip Code 97302

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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