JESSICA A RADLEY (NPI# 1487076154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487076154 |
| Entity Type | Individual |
| Full Name | JESSICA A RADLEY |
| Credential | PMHNP |
| Practice Address |
1620 E 12th St The Dalles OR 97058-3213 |
| Mailing Address |
638 Davenport Rd Mosier OR 97040-9500 |
| Practice Telephone | 5412969151 |
| Practice Fax Number | 5412969156 |
| Mailing Telephone | 5414902590 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201601539NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003057829 | Jessica A Radley | Nurse Practitioner | 109 Shult Dr, Columbus, TX 78934-3009 | 2009-03-09 |
| Street Address |
1620 E 12TH ST |
| City | THE DALLES |
| State | OR |
| Zip Code | 97058-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176613 | Katherine Williams Omer | Pediatrics | 1620 E 12th St, Ste 200, The Dalles, OR 97058-3213 | 2005-07-05 |
| 1093215287 | Richard John Friday | Social Worker | 1620 E 12th St, The Dalles, OR 97058-3213 | 2018-02-14 |
| 1891245999 | Sean Mchugh | Physician Assistant | 1620 E 12th St, The Dalles, OR 97058-3213 | 2016-10-12 |
| 1881067809 | Rebecca Jane Hudson | Nurse Practitioner | 1620 E 12th St, The Dalles, OR 97058-3213 | 2015-11-13 |
| 1457737355 | Kim Whitaker | Family Medicine | 1620 E 12th St, The Dalles, OR 97058 | 2015-08-03 |
| 1982012324 | Jordan Joseph Nagle | Family Medicine | 1620 E 12th St, The Dalles, OR 97058-3213 | 2014-07-29 |
| 1821410531 | Coleen C. Moreno | Social Worker | 1620 E 12th St, The Dalles, OR 97058 | 2014-01-15 |
| 1356607931 | Johanna Clara Nesse | Nurse Practitioner | 1620 E 12th St, The Dalles, OR 97058-3213 | 2012-04-08 |
| 1598072167 | Meghan Coats Mcallister | Nurse Practitioner | 1620 E 12th St, Columbia Hills Family Medicine, The Dalles, OR 97058-3213 | 2010-09-02 |
| 1588981674 | Amber Valenti Armstrong | Physician Assistant | 1620 E 12th St, The Dalles, OR 97058 | 2010-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646864 | Ashlee Kai Mcnamara | Behavior Technician | 2525 W 8th St., #34, The Dalles, OR 97058 | 2018-07-19 |
| 1548784689 | Mireya Moreno Ibarra | Behavior Technician | 401 East 3rd Street, Suite 101, The Dalles, OR 97058 | 2017-07-31 |
| 1407304991 | Joshua Seidel | Pharmacist | 515 Mt Hood St, The Dalles, OR 97058 | 2016-09-14 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
| 1578944666 | Jessica Donnell | Dental Hygienist | 2529 E 12th St, The Dalles, OR 97058 | 2015-06-15 |
| 1487034328 | Savanna Schaan | Specialist | 609 W 14th St, The Dalles, OR 97058 | 2015-06-05 |
| 1801299102 | Mary E Zenorini | Social Worker | 1620 E. 12th St, The Dalles, OR 97058 | 2014-09-30 |
| 1669889143 | Diane Joan Irwin | Social Worker | 419 E 7th St #207, The Dalles, OR 97058 | 2014-07-17 |
| 1124452008 | Lacey A Nichols | Counselor | 312 E. Third St., The Dalles, OR 97058 | 2013-08-27 |
| Find all providers in zip 97058 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1629687892 | Robin Sue Finney | Nurse Practitioner | 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 | 2020-07-23 |
| 1518584457 | Akhena Health & Wellness LLC | Nurse Practitioner | 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 | 2020-06-26 |
| 1447871678 | Monarch Mental Health LLC | Nurse Practitioner | 1927 Channel St, North Bend, OR 97459-1826 | 2020-04-28 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1366071607 | Med Rx Partners, P.C. | Nurse Practitioner | 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 | 2020-04-08 |
| 1417583170 | Brittany Joy Monson | Nurse Practitioner | 12115 Sw 70th Ave, Tigard, OR 97223-9647 | 2020-03-13 |
| 1073147716 | Paradigm Mental Health and Wellness LLC | Nurse Practitioner | 724 S Central Ave Ste 101d, Medford, OR 97501-7808 | 2020-03-02 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | THE DALLES |
| Zip Code | 97058 |
Please comment or provide details below to improve the information on JESSICA A RADLEY.
| 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.