NANCY JANE WALLER (NPI# 1487707618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487707618 |
| Entity Type | Individual |
| Full Name | NANCY JANE WALLER |
| Credential | CRNFA |
| Practice Address |
10940 Sw Barnes Rd Pmb 261 Portland OR 97225-5368 |
| Practice Telephone | 5037066660 |
| Practice Fax Number | 5034699176 |
| Mailing Telephone | 5037066660 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093982647 | Nancy Waller | Physician Assistant | 1339 S Pueblo Blvd, Pueblo, CO 81005-1508 | 2008-05-13 |
| 1972602035 | Nancy Waller | Social Worker | 3037 Nw 63rd St, Ste 104, Oklahoma City, OK 73116-3637 | 2006-09-22 |
| 1508833419 | Nancy Waller | Pediatrics | 701 25th Ave S, #306, Minneapolis, MN 55454-1513 | 2006-03-01 |
| Street Address |
10940 SW BARNES RD PMB 261 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811144090 | Robert Gerald Stanulis | Clinical Neuropsychologist | 10940 Sw Barnes Rd, Portland, OR 97225-5368 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1265756100 | April M Hansen | Registered Nurse | 5414 Ne Everett Street, Portland, OR 97213 | 2010-03-22 |
| 1366096406 | Nicole W Engel | Registered Nurse | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2019-07-26 |
| 1861957078 | Robert Franklin Lord | Registered Nurse | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-02-01 |
| 1740799592 | Robert A Rose | Registered Nurse | 2365 Sw Cedar Hills Blvd, Portland, OR 97225-4534 | 2017-09-25 |
| 1538690516 | Joshua Matthew Gilliam | Registered Nurse | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2017-03-22 |
| 1053643023 | Karen Susan Hoyt | Registered Nurse | 1849 Nw Kearney St, Suite 300, Portland, OR 97209-1453 | 2010-02-02 |
| 1952554677 | Sherri L Chritton | Registered Nurse | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2008-10-25 |
| 1275716268 | Deann Lorraine Parker | Registered Nurse | 10123 Se Market St, Portland, OR 97216-2532 | 2007-12-12 |
| Find all providers in PORTLAND | ||||
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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.