MARY ANNE G KEANE (NPI# 1376942052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376942052 |
| Entity Type | Individual |
| Full Name | MARY ANNE G KEANE |
| Credential | CNS |
| Practice Address |
2865 Daggett Ave Klamath Falls OR 97601-1106 |
| Practice Telephone | 5412742724 |
| Mailing Telephone | 5412742724 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 200670020CNS | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2865 DAGGETT AVE |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982698221 | Slavka Kucinska | Internal Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601 | 2005-09-01 |
| 1053928580 | Andie Leeann Scherer | Dietitian, Registered | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-09-29 |
| 1285241844 | Paolina Mulleneix | Dietitian, Registered | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-09-28 |
| 1073138814 | Merri Barber | Registered Nurse | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-06-08 |
| 1962038620 | Michelle Eileen Staunton | Pharmacist | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-03-13 |
| 1093355166 | Rachael Mudd | Physician Assistant | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-01-07 |
| 1235771874 | Derek Anthony Harpole | Nurse Practitioner | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2019-10-15 |
| 1538712286 | Alexander Edward Beaty | Pharmacist | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2019-07-22 |
| 1255992137 | David Rosser | Pharmacist | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2019-06-22 |
| 1518439470 | Justin Lee Thomas | Physical Therapist | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508212283 | Sodasavanh Joy Khamsoukthavong | Clinical Nurse Specialist | 501 N Graham St Ste 220, Portland, OR 97227-2014 | 2016-05-11 |
| 1235488651 | Claire M Yoshida | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd # L-586, Portland, OR 97239-3011 | 2012-08-30 |
| 1154631612 | Tracey Lee Loudon | Clinical Nurse Specialist | 32100 Se Chin St, Boring, OR 97009-9776 | 2010-10-18 |
| 1972506202 | Susan E. Berg | Clinical Nurse Specialist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2005-05-31 |
| 1760954150 | Brenda Lynn Grossnickle | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-12-22 |
| 1053779801 | Tasha Nicole Searles | Clinical Nurse Specialist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2016-02-08 |
| 1407123219 | Kathleen Ann Fuglee | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Road, Primary Care Room F 120, Portland, OR 97207-1034 | 2011-11-22 |
| 1437448537 | Joan Di Brogrozcio Kono | Clinical Nurse Specialist | 707 Sw Gaines St, Mail Code: Cdrc-p, Portland, OR 97239-2901 | 2011-03-30 |
| 1538462411 | Jodi Duke | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd, Uhs 8z, Portland, OR 97239-3011 | 2010-12-14 |
| 1063713733 | Mary Denise Smith | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd, Uhs-3, Portland, OR 97239-3011 | 2010-11-10 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.