SHADD CUNNINGHAM (NPI# 1508306259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508306259 |
Entity Type | Individual |
Full Name | SHADD CUNNINGHAM |
Practice Address |
2074 S 6th St Klamath Falls OR 97601-3372 |
Practice Telephone | 5418802011 |
Enumeration Date | 2017-02-28 |
Last Update Date | 2017-02-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 170061 | 05 |
Street Address |
2074 S 6TH ST |
City | KLAMATH FALLS |
State | OR |
Zip Code | 97601-3372 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336134055 | Randall B Mayberry | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2005-09-19 |
1245830132 | Gabrielle Cornelia | Registered Nurse | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-10-29 |
1043810930 | Tiffany Nicole Fregoso | Registered Nurse | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-10-29 |
1538788021 | Rachel Marie Margis | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-04-14 |
1255961462 | Hannah Jayne Hayes | Physician Assistant | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-01-16 |
1912549544 | Roy Robert Babb II | Pharmacist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-10-15 |
1346882966 | Tyler Dearing | Pharmacist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-10-15 |
1740836238 | Megan Ashley Mclean | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-08-12 |
1518519800 | Erin Welch | Pharmacist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-07-16 |
1881164739 | Ralph Emmanuel Taguba | Clinic/Center | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2018-12-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
Find all providers in zip 97601 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205447851 | Connect Restore Thrive Counseling Group | Counselor | 3845 Scotts Valley Dr, Klamath Falls, OR 97601-9395 | 2020-08-16 |
1235682360 | Tree of Life Christian Wilderness Expeditions | Counselor | 5728 S 6th St, Klamath Falls, OR 97603-5108 | 2016-07-25 |
1386810497 | Jennifer Lynn Patzke | Counselor | 905 Main St Ste 607, Klamath Falls, OR 97601 | 2008-05-08 |
1194280776 | Garrin Riddle | Counselor | 2555 Main St, Klamath Falls, OR 97601-2723 | 2019-02-07 |
1306364450 | Emily Suzanne Shields | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-09-08 |
1780102822 | Shelby Nicole Lee | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-09-08 |
1740705086 | Rosana Chavolla-hernandez | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-08-08 |
1447775812 | Cassi Lynn Props | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-08-07 |
1720503196 | Diane Elizabeth Tiffee | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601 | 2017-08-07 |
1023557121 | Kyra Giffen | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-02-22 |
Find all providers in KLAMATH FALLS |
City | KLAMATH FALLS |
Zip Code | 97601 |
Please comment or provide details below to improve the information on SHADD CUNNINGHAM.
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.