TIMOTHY ROADEN


Address: 356 Ne Faulconer Ct, Sheridan, OR 97378-1255
Phone: 9712414466

TIMOTHY ROADEN (NPI# 1376076331) 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) 1376076331
Entity Type Individual
Full Name TIMOTHY ROADEN
Practice Address 356 Ne Faulconer Ct
Sheridan
OR 97378-1255
Practice Telephone 9712414466
Mailing Telephone 9712414466
Enumeration Date 2017-04-06
Last Update Date 2017-04-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 356 NE FAULCONER CT
City SHERIDAN
State OR
Zip Code 97378-1255

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386757193 Andrew Barnes Grasley General Practice 2702 Sw Ballston Road, Sheridan, OR 97378 2006-08-16
1902878333 Kenneth A Kelley Chiropractor 639 W Main, Sheridan, OR 97378 2006-02-01
1790951440 Sheridan Family Chiropractic PC Chiropractor 639 W Main, Sheridan, OR 97378 2008-05-02
1265959563 Bettina Tamice Moore Counselor 901 W Main St, Sheridan, OR 97378-1003 2017-08-28
1467837344 Cody Charron Dentist 411 W Main St, Sheridan, OR 97378-1117 2015-07-21
1801918255 Kenneth G Mize Dmdpc Dentist 411 W Main St, Sheridan, OR 97378-1117 2007-04-05
1255338638 Kenneth G Mize Dentist 411 W Main St, Sheridan, OR 97378-1117 2005-06-30
1689047680 Thunderstruck Farms Inc. Chiropractor 639 W Main St, Sheridan, OR 97378-1121 2015-11-12
1013390939 Tina Hargrove Chiropractor 639 W Main St, Sheridan, OR 97378-1121 2015-07-09
1598951634 Julie Lynn Detamore Acupuncturist 552 Nw Evans St, Sheridan, OR 97378-1208 2007-09-21
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841760410 Christopher Michael Evans Peer Specialist 1221 W 5th Street, Sheridan, WY 82801 2018-11-27
1346850781 Daniel Laurencel Aguilar Peer Specialist 3460 S Federal Blvd, Sheridan, CO 80110-1967 2020-07-31
1255998423 Tanya A Tsukas Peer Specialist 1701 W 5th St Ste C, Sheridan, WY 82801-2749 2019-05-23
1053814624 Jacqui Morel Peer Specialist 2161 Coffeen Ave Ste 402, Sheridan, WY 82801-5771 2018-03-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487255576 Thomas Roy Hooks Peer Specialist 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 2020-11-04
1578162145 Kenneth Branson Peer Specialist 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 2020-10-23
1962000554 Dawn Marks Peer Specialist 21440 Se Stark St, Gresham, OR 97030-2024 2020-10-15
1679188080 Michelle Marie Bunkers Peer Specialist 20517 Jacklight Ln, Bend, OR 97702-2971 2020-09-11
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1528677820 Charice Monette Peer Specialist 4151 Kacey Cir Ne, Salem, OR 97305-4504 2020-07-23
1841810322 Ariana Lee May Peer Specialist 1601 Olive St Apt 1008, Eugene, OR 97401-3985 2020-04-24
1982237236 Jessica M Montoya Peer Specialist 235 Se Knowledge St, Prineville, OR 97754-2362 2020-02-14
1134752579 Lisa Kennedy Peer Specialist 132 Ne B St # 24, Grants Pass, OR 97526-2114 2020-02-13
1730711953 Michael Anthony Duran Peer Specialist 1515 Hill St Se, Albany, OR 97322-6715 2020-02-05
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Competitor

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City SHERIDAN
Zip Code 97378

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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