RACHEL ROSE MCCALL (NPI# 1396360863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396360863 |
Entity Type | Individual |
Full Name | RACHEL ROSE MCCALL |
Practice Address |
3876 Beverly Ave Ne Bldg G Salem OR 97305-1319 |
Mailing Address |
290 Mahrt Ln Se Apt 102 Salem OR 97317-5682 |
Practice Telephone | 5035764536 |
Practice Fax Number | 5033612782 |
Mailing Telephone | 9713223543 |
Mailing Fax Number | 5033612782 |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447560 | Rachel Frances Mccall | Social Worker | 13377 N 56th St, Tampa, FL 33617-1161 | 2020-11-04 |
1760953616 | Rachel A Mccall IIi | Occupational Therapist | 17 Chipman Way, Kingston, MA 02364-1039 | 2018-12-17 |
1194227322 | Rachel Mccall | Behavior Technician | 4085 Hancock Bridge Pkwy Ste 101, North Fort Myers, FL 33903-7220 | 2018-03-04 |
Street Address |
3876 BEVERLY AVE NE BLDG G |
City | SALEM |
State | OR |
Zip Code | 97305-1319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396926895 | Nicholas James Stroud | Social Worker | 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 | 2007-11-26 |
1285243436 | Brenda Rebecca Blake | Case Manager/Care Coordinator | 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 | 2020-07-23 |
1841814746 | Madison Anne Dulany | Peer Specialist | 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 | 2020-06-05 |
1215596093 | Shayla Michele Richardson | Case Manager/Care Coordinator | 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 | 2019-06-06 |
1528626330 | Michael Kelly Martin | Case Manager/Care Coordinator | 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 | 2019-06-05 |
1750872446 | Fernando Rincon Mata | Case Manager/Care Coordinator | 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 | 2018-05-29 |
1336630730 | Jennifer Lomeli | Case Manager/Care Coordinator | 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 | 2018-05-22 |
1346757911 | Rosa M Noriega | Peer Specialist | 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 | 2018-01-04 |
1407368285 | Torey Jarrett | Case Manager/Care Coordinator | 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 | 2017-11-01 |
1396254215 | Dana Morris | Social Worker | 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 | 2017-09-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
Find all providers in zip 97305 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528677820 | Charice Monette | Peer Specialist | 4151 Kacey Cir Ne, Salem, OR 97305-4504 | 2020-07-23 |
1821649336 | Christopher Adam Handy | Peer Specialist | 3050 Park Ave Ne, Salem, OR 97301-8615 | 2019-09-25 |
1922505767 | Amy Nicole Cozad | Peer Specialist | 4275 Commercial St Se Ste 180, Salem, OR 97302-4087 | 2018-04-09 |
1649785817 | Keileigh Joy Dull | Peer Specialist | 3213 Center St Ne, Salem, OR 97301-4666 | 2017-12-08 |
1104331370 | Christina E Higgins Korkow | Peer Specialist | 2555 Silverton Rd Ne, Salem, OR 97301-0837 | 2017-12-08 |
1437682044 | Debra Janae Rice | Peer Specialist | 2555 Silverton Rd Ne Ste C, Salem, OR 97301-0837 | 2017-04-10 |
1952834194 | Brian Smith | Peer Specialist | 769 Hawthorne Ave Ne, Salem, OR 97301-4623 | 2017-04-05 |
1588013577 | Sarah Harris | Peer Specialist | 4255 32nd Pl Ne, Salem, OR 97301-6735 | 2016-06-09 |
1194187476 | Tammi Paul | Peer Specialist | 1300 Broadway St Ne Ste 403, Salem, OR 97301-1420 | 2016-03-24 |
1710343926 | Teresa Anne Sims | Peer Specialist | 1599 State Street Ne, Salem, OR 97301 | 2016-01-05 |
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.