MS. LAURA MARIE ULLOA (NPI# 1326474800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326474800 |
| Entity Type | Individual |
| Full Name | MS. LAURA MARIE ULLOA |
| Other Name | LAURA MARIE MAITREJEAN |
| Credential | MSW, LCSW |
| Practice Address |
555 Black Oak Dr Medford OR 97504-8447 |
| Practice Telephone | 5417798000 |
| Mailing Telephone | 5417798000 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | L8473 | OR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
A5204 | OR | Behavioral Health & Social Service Providers |
| Street Address |
555 BLACK OAK DR |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661912 | Nancy J. Keeley | Nurse Practitioner | 555 Black Oak Dr, Suite 100, Medford, OR 97504-8447 | 2005-06-30 |
| 1497218614 | Rachel Dunn | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2019-04-14 |
| 1073079430 | Kathryn Hardaway | Registered Nurse | 555 Black Oak Dr, Medford, OR 97504-8447 | 2019-02-11 |
| 1124582820 | Dana Andrew Teszler | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2019-01-27 |
| 1518435585 | Jesse Hodson | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2018-11-08 |
| 1578089108 | Jennifer May Foltz | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504-8447 | 2017-08-15 |
| 1194255950 | Greg D Smith | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504 | 2017-06-14 |
| 1386192391 | Sarah Elizabeth White | Pharmacist | 555 Black Oak Dr, Medford, OR 97504-8447 | 2016-09-19 |
| 1891133369 | David L Moore | Nurse Practitioner | 555 Black Oak Dr, Medford, OR 97504 | 2013-06-06 |
| 1487092045 | Ernesto Jimenez | Family Medicine | 555 Black Oak Dr, Medford, OR 97504-8447 | 2013-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124226 | Shane William Macdonald | Social Worker | 20 Stearns Ave, Medford, MA 02155-5620 | 2020-11-05 |
| 1851925762 | Tracey Marie Damrau | Social Worker | 879 Old Medford Ave, Medford, NY 11763-2660 | 2020-02-29 |
| 1326696261 | Marlee Starr Thompson | Social Worker | 5 High St Ste 1, Medford, MA 02155-3800 | 2019-09-03 |
| 1447810759 | Kescha Murphy | Social Worker | 1735 N Ocean Ave Ste 5, Medford, NY 11763-2671 | 2019-06-18 |
| 1902366198 | Regina Marie Ely | Social Worker | 2799 Medford Ave Ste 11, Medford, NY 11763-2535 | 2019-03-22 |
| 1639654353 | Joan Matteuzzi | Social Worker | 35 Dianne Rd, Medford, MA 02155-1542 | 2018-09-27 |
| 1588161707 | Claudel Chevry | Social Worker | 4 Exchange Ave, Medford, MA 02155-6309 | 2018-04-13 |
| 1316302474 | Nancy Zukowski | Social Worker | 6 Victorian Ln, Medford, NY 11763-2573 | 2015-12-16 |
| 1003283664 | Christina Maria Conforto | Social Worker | 9 Yale St, Apartment 1, Medford, MA 02155-6029 | 2015-08-28 |
| 1093109746 | Maka Osman | Social Worker | 789 Fellsway W, Medford, MA 02155-1217 | 2015-03-20 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on MS. LAURA MARIE ULLOA.
| 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.