STACY M ANDERSON (NPI# 1518139617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518139617 |
| Entity Type | Individual |
| Full Name | STACY M ANDERSON |
| Credential | PMHNP |
| Practice Address |
1475 Mt. Hood Ave Woodburn OR 97071 |
| Mailing Address |
Po Box 278 Woodburn OR 97071 |
| Practice Telephone | 9719835214 |
| Practice Fax Number | 9719835219 |
| Mailing Telephone | (971) 983-5260 |
| Mailing Fax Number | 9719835326 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2017-05-25 |
| 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 |
200850153NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
200850153NPPMHNP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500601826 | 05 | |
| OR | 500673539 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068740 | Stacy Renee Anderson | Technician | 1510 Talon Dr, Cameron, MO 64429-2095 | 2019-08-17 |
| 1366646713 | Stacy Lynette Anderson | Social Worker | 1501 N Meridian Ave, Wichita, KS 67203-1942 | 2007-06-11 |
| 1306457031 | Stacy Anne Anderson | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-08-15 |
| 1144846064 | Stacy Ann Anderson | Registered Nurse | 3230 Waring Ct Ste A, Oceanside, CA 92056-4509 | 2020-06-17 |
| 1942824701 | Stacy Lynn Anderson | Pharmacist | 305 S State St, Aberdeen, SD 57401-4527 | 2020-06-07 |
| 1386094134 | Stacy Anderson | Case Manager/Care Coordinator | 4700 Wichers Dr Ste 206, Marrero, LA 70072-3054 | 2016-06-13 |
| 1376949842 | Stacy Diane Anderson | Counselor | 2601 Pasadena Blvd, Pasadena, TX 77502-3265 | 2014-11-11 |
| 1619210648 | Stacy Lee Anderson | Internal Medicine | 1275 York Ave, New York, NY 10065-6007 | 2013-03-28 |
| 1093020653 | Stacy Jennifer Anderson | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2010-08-07 |
| 1710114038 | Stacy Anderson | Pharmacist | 1401 N 1st St, Grand Junction, CO 81501-2139 | 2009-06-12 |
| Street Address |
1475 MT. HOOD AVE |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083663009 | Julie Christine Broyhill | Legal Medicine | 1475 Mt. Hood Ave, Woodburn, OR 97071 | 2006-05-08 |
| 1215347109 | Silverton Health | Clinic/Center | 1475 Mt. Hood Ave, Woodburn, OR 97071 | 2014-05-01 |
| 1740621861 | Kristen Marie Leinung | Registered Nurse | 1475 Mt. Hood Ave, Woodburn, OR 97071 | 2013-07-17 |
| 1114274859 | Audry B Van Houweling | Nurse Practitioner | 1475 Mt. Hood Ave, Woodburn, OR 97071 | 2012-08-13 |
| 1114239936 | Jamey Lynn Walker | Emergency Medicine | 1475 Mt. Hood Ave, Woodburn, OR 97071 | 2010-07-09 |
| 1114124641 | Stephen Joseph Comella | Counselor | 1475 Mt. Hood Ave, Woodburn, OR 97071 | 2007-06-28 |
| 1619172780 | Providence Silverton Rehab LLC | Clinic/Center | 1475 Mt. Hood Ave, Woodburn, OR 97071-9066 | 2007-06-19 |
| 1679686463 | Silverton Health | Clinic/Center | 1475 Mt. Hood Ave, Woodburn, OR 97071 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| 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 |
|---|---|---|---|---|
| 1871962589 | Diane Inda | Nurse Practitioner | 1475 Mount Hood Ave, Woodburn, OR 97071-9066 | 2015-09-23 |
| 1437548070 | Nancy Feltner | Nurse Practitioner | 2050 Progress Way, Woodburn, OR 97071-9764 | 2015-01-20 |
| 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 | ||||
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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.