MS. KYLE CANDICE MUSHKIN (NPI# 1518165133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518165133 |
| Entity Type | Individual |
| Full Name | MS. KYLE CANDICE MUSHKIN |
| Practice Address |
1270 Kot Num Road Warm Springs OR 97761 |
| Mailing Address |
Po Box 1209 Warm Springs OR 97761-1209 |
| Practice Telephone | 5415531196 |
| Practice Fax Number | 5415532135 |
| Mailing Telephone | 5415531196 |
| Mailing Fax Number | 5415532135 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 273855 | 05 |
| Street Address |
1270 KOT NUM ROAD |
| City | WARM SPRINGS |
| State | OR |
| Zip Code | 97761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431449 | Christopher Keane | Family Medicine | 1270 Kot Num Road, Warm Springs, OR 97761-1209 | 2005-07-19 |
| 1962825729 | Paree Farr | Registered Nurse | 1270 Kot Num Road, Warm Springs, OR 97761-1209 | 2014-01-30 |
| 1295162493 | Jessie Zepeda Casberg | Pharmacist | 1270 Kot Num Road, Warm Springs, OR 97761 | 2013-10-02 |
| 1427394071 | Rebecca Anne Wolfe | Registered Nurse | 1270 Kot Num Road, Warm Springs, OR 97761 | 2012-12-28 |
| 1215241708 | Annette N Sampson | Registered Nurse | 1270 Kot Num Road, Warm Springs, OR 97761-1209 | 2010-07-27 |
| 1861729451 | Damon Joshua Pope | Dentist | 1270 Kot Num Road, Warm Springs, OR 97761-1209 | 2009-11-03 |
| 1780707448 | Carol Ann Prevost | Registered Nurse | 1270 Kot Num Road, Warm Springs, OR 97761 | 2007-04-09 |
| 1356484380 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot Num Road, Warm Springs, OR 97761-1209 | 2007-02-15 |
| 1730243346 | Diane Fuller | Registered Nurse | 1270 Kot Num Road, Warm Springs, OR 97741 | 2006-12-20 |
| 1093874786 | Lois Ann Wells | Registered Nurse | 1270 Kot Num Road, Warm Springs, OR 97761 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891850749 | Frank A Mendoza | Dentist | Warm Springs Indian Health Service Dental Clinic, 1270 Kot-num Road, Warm Springs, OR 97761 | 2006-12-22 |
| 1477596112 | Eric Bradford | Physical Therapist | 1270 Kotnum Rd., Warm Springs, OR 97761 | 2006-06-13 |
| 1629033527 | Lynette R Dziuk | Optometrist | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2006-04-20 |
| 1982690954 | Hai Tuan Tran | Podiatrist | 1270 Kot-num, Warm Springs, OR 97761 | 2005-09-23 |
| 1154320240 | James C Gemelas | Pharmacist | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1508863317 | Mitzie Althea Allen | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761 | 2005-07-07 |
| 1952303273 | Stephen Miles Rudd | Family Medicine | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2005-06-01 |
| 1184239956 | Brian Daniel Wojahn | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-09-09 |
| 1639789266 | Kasem Darwish El-hajji | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-08-07 |
| Find all providers in zip 97761 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407265 | Daisy May Macgilbert | Student in an Organized Health Care Education/Training Program | 15698 Sw Greenfield Dr, Tigard, OR 97224-3828 | 2020-11-03 |
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1497354880 | Justin Tyler Miracle | Student in an Organized Health Care Education/Training Program | 1421 Nw Cleveland Ave, Corvallis, OR 97330-2015 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1871100503 | Mason P Haye | Student in an Organized Health Care Education/Training Program | 21430 Miles Dr, West Linn, OR 97068-2880 | 2020-09-27 |
| 1760098628 | Reid Marion | Student in an Organized Health Care Education/Training Program | 21420 Colt Rd, Klamath Falls, OR 97603-9803 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | WARM SPRINGS |
| Zip Code | 97761 |
Please comment or provide details below to improve the information on MS. KYLE CANDICE MUSHKIN.
| 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.