KELLIE MARIE SHEPHERD (NPI# 1447899158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447899158 |
| Entity Type | Individual |
| Full Name | KELLIE MARIE SHEPHERD |
| Credential | CARE GIVER |
| Practice Address |
686 Sw Lorraine Dr Madras OR 97741-9333 |
| Practice Telephone | 5413251654 |
| Mailing Telephone | 5413251654 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
686 SW LORRAINE DR |
| City | MADRAS |
| State | OR |
| Zip Code | 97741-9333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750868196 | Orie Made | Counselor | 185 Nw D St, Suite D&e, Madras, OR 97741 | 2018-07-27 |
| 1831514603 | Robbin Webber Foster | Social Worker | 470 Ne 'a' St., St. Charles Hospice, Madras, OR 97741 | 2014-03-03 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1255769667 | Aaron Michael Lee | Physician Assistant | 76 N.e. 12th St., Madras, OR 97741 | 2013-10-22 |
| 1114276045 | April A Henselman Campanella | Dental Hygienist | 376 Ne Oak Street, Madras, OR 97741 | 2012-09-06 |
| 1487809091 | Bestcare Treatment Services | Substance Abuse Rehabilitation Facility | 125 Sw C Street, Madras, OR 97741 | 2008-11-24 |
| 1144417437 | Assisted Living Concepts Inc | Assisted Living Facility | 470 Ne Oak Street, Madras, OR 97741 | 2007-10-01 |
| 1518074327 | Janice K Monroe | Nurse Practitioner | 910 Sw Hwy 97, Suite 101, Madras, OR 97741 | 2006-08-25 |
| 1215966759 | Mark M Mullins | Chiropractor | 28 Ne 12th St, Madras, OR 97741 | 2006-06-30 |
| 1356389894 | St. Charles Health System, Inc. | Emergency Medicine | 470 Ne A Street, Madras, OR 97741 | 2006-06-04 |
| Find all providers in zip 97741 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770122392 | Barbara Mccullough | Home Health Aide | 254 Serenity Ln, Grants Pass, OR 97526-9756 | 2019-12-30 |
| 1073150074 | Clair's II Adult Foster Home LLC | Home Health Aide | 63249 Everest Rd, Coos Bay, OR 97420-7238 | 2019-12-09 |
| 1124665914 | Rolando Luis Chong | Home Health Aide | 326 Carnelia St Se, Salem, OR 97306-2077 | 2019-11-29 |
| 1376194019 | Peggy Mullett | Home Health Aide | 29185 Blake Dr, Corvallis, OR 97330-9306 | 2019-09-24 |
| 1477031359 | Michael Dee Slay | Home Health Aide | 124 Pine St Apt 210, Klamath Falls, OR 97601-6359 | 2018-08-01 |
| 1588150965 | Albert Wayne Clark Jr. | Home Health Aide | 4343 Main St, Springfield, OR 97478-7647 | 2018-07-09 |
| 1326556077 | Irene Elaine Hill | Home Health Aide | 315 N Alberta St Apt 48, Portland, OR 97217-2848 | 2018-01-16 |
| 1245789197 | Angela Rae Bailey | Home Health Aide | 4239 Clay Pl Se, Albany, OR 97322-6353 | 2016-10-03 |
| 1275986960 | Holly Garland | Home Health Aide | 22085 Sw Augusta Ln, Hillsboro, OR 97123-6557 | 2016-07-18 |
| 1861848657 | Ellisa Barr | Home Health Aide | 612 Villa Rd, Newberg, OR 97132-1835 | 2016-05-11 |
| Find all providers with the same taxonomy | ||||
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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.