NICOLE BENTHIN (NPI# 1407400500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407400500 |
Entity Type | Individual |
Full Name | NICOLE BENTHIN |
Credential | NP |
Practice Address |
725 S Wahanna Rd Ste 230 Seaside OR 97138-7735 |
Mailing Address |
Po Box 783 Astoria OR 97103-0783 |
Practice Telephone | 5037417060 |
Mailing Telephone | 5037914156 |
Enumeration Date | 2019-07-26 |
Last Update Date | 2020-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201905533NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
725 S WAHANNA RD STE 230 |
City | SEASIDE |
State | OR |
Zip Code | 97138-7735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720070683 | Gary M Greenberg | Internal Medicine | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2005-08-17 |
1942855515 | Diana Rose Fischer | Pharmacist | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2019-08-09 |
1790248763 | Nore Batouli | Nurse Practitioner | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2019-04-08 |
1952870925 | Dianna Lindberg Doyle | Nurse Practitioner | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2018-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881238376 | Abigail Mcneil | Social Worker | 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2019-10-29 |
1124564455 | Shelby James | Massage Therapist | 620 S Holladay Dr Ste 3, Seaside, OR 97138 | 2017-01-10 |
1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
1215331020 | Jessica Jones | Massage Therapist | 1601 S. Roosevelt, Seaside, OR 97138 | 2014-10-22 |
1952735987 | Derk Penrod | Pharmacist | 401 S Roosevelt, Seaside, OR 97138 | 2013-08-27 |
1194166025 | Scott Allen Kafader | Pharmacist | 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2013-07-08 |
1326391459 | Addiction Medicine Consulting | Substance Abuse Rehabilitation Facility | 1325 North Holladay Dr., Seaside, OR 97138 | 2012-10-26 |
1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
1831395144 | Delores Swigert Sullivan | Social Worker | 564 Pacific Way, Gearhart, OR 97138 | 2007-06-23 |
Find all providers in zip 97138 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073158804 | Maliheh Bakhshi | Nurse Practitioner | 915 Hilby Ave Ste 22, Seaside, CA 93955-5359 | 2019-11-15 |
1790248763 | Nore Batouli | Nurse Practitioner | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2019-04-08 |
1952870925 | Dianna Lindberg Doyle | Nurse Practitioner | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2018-11-19 |
1831627181 | La'rhonda Mashalle Waldrup | Nurse Practitioner | 625 Hilby Ave, Seaside, CA 93955-5720 | 2017-05-31 |
1447702485 | Carol L Crowe | Nurse Practitioner | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-10-25 |
1134678972 | Carly Hall Haas | Nurse Practitioner | 725 S Wahanna Rd, Suite 230, Seaside, OR 97138-7735 | 2016-09-21 |
1871040857 | Allison K Walkowski | Nurse Practitioner | 727 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-09-07 |
1154772911 | Karina Marie Squire | Nurse Practitioner | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-06-23 |
1053727420 | Lara Shipley | Nurse Practitioner | 1130 Fremont Blvd, Suite 210b, Seaside, CA 93955-5700 | 2014-07-07 |
1801932439 | Mary Jane Reilly-jaramillo | Nurse Practitioner | 1150 Fremont Blvd, Seaside, CA 93955-5715 | 2007-01-30 |
Find all providers in SEASIDE |
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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.