GAYLENE LYDA (NPI# 1366468506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366468506 |
| Entity Type | Individual |
| Full Name | GAYLENE LYDA |
| Credential | RNFA |
| Practice Address |
2801 Nw Mercy Dr Suite 330 Roseburg OR 97471-2348 |
| Mailing Address |
2750 W Harvard Ave Roseburg OR 97471-2608 |
| Practice Telephone | 5416773600 |
| Practice Fax Number | 5416773601 |
| Mailing Telephone | 5416738988 |
| Mailing Fax Number | 5416728103 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
80012252 | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 090461 | 05 |
| Street Address |
2801 NW MERCY DR SUITE 330 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528038 | Ambulatory Surgery Center of Roseburg, LLC | Clinic/Center | 2801 Nw Mercy Dr, Ste 200, Roseburg, OR 97470-2348 | 2005-06-16 |
| 1518341437 | Jeremy James Wedge | Registered Nurse | 2801 Nw Mercy Dr, Suite 200, Roseburg, OR 97471-2348 | 2015-07-10 |
| 1699173161 | Hilary Oakes | Nurse Practitioner | 2801 Nw Mercy Dr, Ste. 300, Roseburg, OR 97471-2348 | 2014-12-15 |
| 1891003497 | Centennial Medical Group West, LLC | Internal Medicine | 2801 Nw Mercy Dr, Suite 345, Roseburg, OR 97471-2348 | 2010-09-16 |
| 1528375532 | Christine Yap Villardo | Hospitalist | 2801 Nw Mercy Dr, Suite 340, Roseburg, OR 97471-2348 | 2010-09-13 |
| 1902132483 | Ent Associates of Roseburg LLC | Otolaryngology | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97471-2348 | 2009-10-19 |
| 1356517098 | Bryan Michael Mcvay | Surgery | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97471-6214 | 2008-05-02 |
| 1205057908 | Sharyse L Williams | Registered Nurse | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97470-2348 | 2007-05-01 |
| 1356425169 | Umpqua Orthopedics | Specialist | 2801 Nw Mercy Dr, Ste 300, Roseburg, OR 97470-2348 | 2006-10-25 |
| 1932284528 | Gary Bronstein | Internal Medicine | 2801 Nw Mercy Dr, Suite 300, Roseburg, OR 97471-2348 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619224052 | Nichole Lynn Simpson | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2012-08-03 |
| 1023266012 | Fredrick Ryan Wilkins | Registered Nurse | 913 Garden Valley Blvd, Roseburg, OR 97471-6523 | 2008-09-03 |
| 1205057908 | Sharyse L Williams | Registered Nurse | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97470-2348 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985463 | Emily Rowan | Registered Nurse | 834 Se 42nd Ave, Portland, OR 97215-1607 | 2020-08-31 |
| 1265945604 | Salwa Munir | Registered Nurse | 17135 Sw Baseline Rd, Beaverton, OR 97006-4201 | 2017-11-08 |
| 1467822668 | Elizabeth Marie Kilty | Registered Nurse | 52195 E Terra Fern Dr, Sandy, OR 97055-7402 | 2015-09-30 |
| 1154707503 | Joel Lee, Rn B.s.n | Registered Nurse | 1210 S College St, Apt. 228, Newberg, OR 97132-3372 | 2015-08-08 |
| 1053652453 | Heather Marie Ficken | Registered Nurse | 84771 Dorran Rd, Helix, OR 97835-4001 | 2013-03-09 |
| 1548558745 | Daria Yolanda Ferrara | Registered Nurse | 65877 Cori Way, Bend, OR 97701-9074 | 2011-07-21 |
| 1922392638 | Anna Christina Mcallister | Registered Nurse | 547 Bond St, Astoria, OR 97103-4230 | 2011-05-31 |
| 1952629313 | Robin Sue Blankenbaker | Registered Nurse | 16789 Sw Daffodil St, Sherwood, OR 97140-7716 | 2010-05-11 |
| 1881926137 | Linda Jane Conn | Registered Nurse | 16460 Nw Graf St, Portland, OR 97229-7951 | 2010-02-10 |
| 1720310170 | Lorri M Petterson | Registered Nurse | 863 Ne Hidden Valley Dr Unit 1, Bend, OR 97701-6575 | 2010-02-10 |
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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.