CASEY LULAY (NPI# 1295151686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
2485 12TH ST SE |
City | SALEM |
State | OR |
Zip Code | 97302-2151 |
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 |
Find all providers in the same location |
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 Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in SALEM |
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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.