KATHLEEN MAE EDWARDS (NPI# 1457415978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457415978 |
| Entity Type | Individual |
| Full Name | KATHLEEN MAE EDWARDS |
| Credential | RN |
| Practice Address |
3180 Center St Ne Salem OR 97301-4532 |
| Mailing Address |
1821 Jory Hill Rd S Salem OR 97306-9113 |
| Practice Telephone | 5035885351 |
| Practice Fax Number | 5035854908 |
| Mailing Telephone | 5035855045 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2010-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
079042329RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861777906 | Kathleen Edwards | Registered Nurse | 10350 Palm Springs Dr, Sparks, NV 89441-0524 | 2011-10-20 |
| 1083860290 | Kathleen Helen Edwards | Speech-Language Pathologist | 104 Ainslie St Apt 2, Brooklyn, NY 11211-3550 | 2008-08-07 |
| 1295925774 | Kathleen Edwards | Dietitian, Registered | 3365 Peter Ln, Yorktown Heights, NY 10598-1923 | 2007-07-31 |
| 1467569467 | Kathleen Ann Edwards | Speech-Language Pathologist | Scottish Rite Childhood Language Center, 4202 Hermitage Road, Richmond, VA 23227-3755 | 2006-08-24 |
| 1306460837 | Kathleen Edwards | Nurse Anesthetist, Certified Registered | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2020-06-01 |
| 1164802534 | Kathleen T Edwards | Nurse Practitioner | 2240 Highway 33, Suite 114, Neptune City, NJ 07753-6104 | 2015-06-01 |
| 1588928550 | Kathleen Edwards | Case Manager/Care Coordinator | 95 Franklin St, Buffalo, NY 14202-3925 | 2012-06-25 |
| 1528186558 | Kathleen M Edwards | Marriage & Family Therapist | 3001 Spring Mill Drive, Suite D, Springfield, IL 62704-6599 | 2007-03-27 |
| 1922018738 | Kathleen Lane Edwards | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2006-08-08 |
| Street Address |
3180 CENTER ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275634420 | Lora Jean Hurlburt | Registered Nurse | 3180 Center St Ne, Salem, OR 97301-4532 | 2006-09-26 |
| 1306444849 | Elizabeth Fields | Case Manager/Care Coordinator | 3180 Center St Ne, Salem, OR 97301-4532 | 2020-10-16 |
| 1639777360 | Kyle Robinson | Counselor | 3180 Center St Ne, Salem, OR 97301-4532 | 2020-10-14 |
| 1013526318 | Nicole Costello | Case Manager/Care Coordinator | 3180 Center St Ne, Salem, OR 97301-4532 | 2020-07-23 |
| 1942827845 | Karmen Brown | Registered Nurse | 3180 Center St Ne, Salem, OR 97301-4532 | 2020-06-26 |
| 1134741606 | Monica Araceli Aguiar | Registered Nurse | 3180 Center St Ne, Salem, OR 97301-4532 | 2020-05-07 |
| 1760024178 | Shawnie Lee Campbell | Case Manager/Care Coordinator | 3180 Center St Ne, Salem, OR 97301-4532 | 2019-10-17 |
| 1124683800 | Ashley Nicole Flores | Case Manager/Care Coordinator | 3180 Center St Ne, Salem, OR 97301-4532 | 2019-05-07 |
| 1902367238 | Jorge Medina | Community Health Worker | 3180 Center St Ne, Salem, OR 97301-4532 | 2019-03-28 |
| 1760947550 | Michele Bowers | Case Management | 3180 Center St Ne, Salem, OR 97301-4532 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846942 | Debra Louise Booth | Registered Nurse | 19 Bryant St, Salem, MA 01970-2330 | 2020-03-23 |
| 1003315045 | Ryan Tateishi | Registered Nurse | 966 12th St Se Ste 110, Salem, OR 97302-2860 | 2018-02-05 |
| 1447449541 | Mertice Marie Spencer | Registered Nurse | 4778 Charmalee Ct Ne, Salem, OR 97305-3028 | 2007-10-15 |
| 1720141039 | Donald Paul Gesner | Registered Nurse | 4559 14th Pl S, Salem, OR 97302-2306 | 2006-12-18 |
| 1023027877 | Larry Lee Bardell | Registered Nurse | 1660 Oak St Se, Salem, OR 97301-6942 | 2006-08-07 |
| 1932727963 | Jessica Pepin | Registered Nurse | 81 Highland Ave, Salem, MA 01970-2714 | 2020-07-07 |
| 1912521816 | Nicholas Jordan Adair | Registered Nurse | 2045 Silverton Rd Ne Ste B, Salem, OR 97301-0100 | 2020-06-05 |
| 1659870996 | Donna Estelle Hoffman | Registered Nurse | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2018-02-01 |
| 1639509888 | Michael P Tremko | Registered Nurse | 2250 D St Ne, Salem, OR 97301 | 2013-11-24 |
| 1033489034 | Elisabeth Pauline Staten | Registered Nurse | 41 Mason St, Salem, MA 01970-2260 | 2012-01-06 |
| 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.