MS. KELLY PAULIE MCGINTY (NPI# 1508100256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508100256 |
Entity Type | Individual |
Full Name | MS. KELLY PAULIE MCGINTY |
Credential | FNP-C |
Practice Address |
1001 Providence Dr Newberg OR 97132-7485 |
Mailing Address |
2823 Glen Haven Rd Lake Oswego OR 97034-5722 |
Practice Telephone | 5035371555 |
Mailing Telephone | 5099510836 |
Enumeration Date | 2012-11-19 |
Last Update Date | 2012-11-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0912151 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1001 PROVIDENCE DR |
City | NEWBERG |
State | OR |
Zip Code | 97132-7485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306840822 | Jeffrey D Disney | Emergency Medicine | 1001 Providence Dr, Dept of Emergency Medicine, Newberg, OR 97132-7485 | 2005-06-13 |
1588121966 | Michelle Brannen Geffert | Physician Assistant | 1001 Providence Dr, Newberg, OR 97132-7485 | 2019-02-21 |
1801376595 | Bradley Jon Kountz Speer | Physical Medicine & Rehabilitation | 1001 Providence Dr, Newberg, OR 97132-7485 | 2018-08-21 |
1174074868 | Providence Health & Services Oregon | Anesthesiology | 1001 Providence Dr, Newberg, OR 97132-7485 | 2016-10-18 |
1477002160 | Amy Beth Tzou | Pharmacist | 1001 Providence Dr, Attn: Pharmacy, Newberg, OR 97132-7485 | 2016-09-23 |
1861845331 | Heidi Thomason | Dietitian, Registered | 1001 Providence Dr, Newberg, OR 97132-7485 | 2016-07-19 |
1124481346 | Eliot D Hill | Internal Medicine | 1001 Providence Dr, Newberg, OR 97132-7485 | 2016-04-04 |
1427425818 | Ian Ledford | Internal Medicine | 1001 Providence Dr, Newberg, OR 97132-7485 | 2015-09-01 |
1174901854 | Andrea Banke | Physician Assistant | 1001 Providence Dr, Emergency Department, Newberg, OR 97132-7485 | 2015-05-13 |
1154729119 | Providence Newberg Pharmacy | General Acute Care Hospital | 1001 Providence Dr, Newberg, OR 97132-7485 | 2014-12-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
1013321389 | Jaecelle Guadiz Galeniece | Family Medicine | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2014-06-16 |
1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033604913 | Chelsea Deselms | Nurse Practitioner | 440 N Villa Rd, Newberg, OR 97132-1856 | 2018-06-24 |
1073033437 | Sheleen Wytcherley | Nurse Practitioner | 1003 Providence Dr Ste 210, Newberg, OR 97132-7523 | 2017-06-26 |
1659519676 | Stephanie Joy Matthew | Nurse Practitioner | 414 N. Meridian Street #6128, George Fox University Health Center, Newberg, OR 97132 | 2009-01-29 |
1205010170 | Katie Nicosia | Nurse Practitioner | 470 N Villa Rd, Newberg, OR 97132-1858 | 2007-12-27 |
1053379479 | Sheila M Smith | Nurse Practitioner | 1014 N Springbrook Rd Ste B, Newberg, OR 97132-2061 | 2006-05-03 |
1447807532 | Esther Im | Nurse Practitioner | 1003 Providence Dr Ste 210, Newberg, OR 97132 | 2019-08-22 |
1225593197 | Reclaim Clinic | Nurse Practitioner | 446 Villa Rd, Newberg, OR 97132-1856 | 2019-02-05 |
1275008096 | Anna L Hiebert | Nurse Practitioner | 1003 Providence Dr, Newberg, OR 97132-7521 | 2018-10-08 |
1215486626 | Peoples Community Clinic of Newberg LLC | Nurse Practitioner | 1014 N Springbrook Rd Ste B, Newberg, OR 97132-2061 | 2016-09-26 |
1861562852 | Suzanne D Webber | Nurse Practitioner | 1003 Providence Dr, Ste 325, Newberg, OR 97132-7521 | 2006-11-08 |
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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.