DEAN ROBINS WENTWORTH (NPI# 1528268034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528268034 |
| Entity Type | Individual |
| Full Name | DEAN ROBINS WENTWORTH |
| Credential | FNP |
| Practice Address |
6645 Gleneden Beach Loop Ste 1152 Gleneden Beach OR 97388 |
| Mailing Address |
Po Box 1152 235 Lorraine Street Gleneden Beach OR 97388 |
| Practice Telephone | 9714093985 |
| Mailing Telephone | 9714093985 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2019-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
75068 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
200750106 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
200750106NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2007501060NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 274493 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 235 Lorraine St, Gleneden Beach, OR 97388 | 9714093985 |
| Street Address |
6645 GLENEDEN BEACH LOOP STE 1152 |
| City | GLENEDEN BEACH |
| State | OR |
| Zip Code | 97388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902068901 | Nancy Leah Resnikoff | Marriage & Family Therapist | 7760 Highway 101 N, Gleneden Beach, OR 97388 | 2008-06-30 |
| 1487832150 | Fran Diane Ferder | Psychologist | 7755 Hwy 101 Suite A2a, Gleneden Beach, OR 97388 | 2008-02-05 |
| 1235473554 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 95 Laurel St, Gleneden Beach, OR 97388 | 2012-11-27 |
| 1508873779 | Vinod K Vinjamuri Md LLC | Internal Medicine | 6615 Gleneden Beach Loop, Gleneden Beach, OR 97388 | 2006-08-01 |
| 1841213246 | Nazmul Hoque Md LLC | Internal Medicine | 6615 Gleneden Beach Loop, Gleneden Beach, OR 97388 | 2006-07-26 |
| 1366659526 | Kathleen Diane Rich | Psychologist | 7755 Hwy 101, Market Place At Salishan Suite 1a1, Gleneden Beach, OR 97388-0244 | 2007-05-17 |
| 1720089345 | Vinod K Vinjamuri | Internal Medicine | 6615 Gleneden Beach Loop, Gleneden Beach, OR 97388-9700 | 2005-08-04 |
| 1043218373 | Nicklis C Simpson | Dentist | 6645 Gleneden Beach Loop, Gleneden Beach, OR 97388-9700 | 2005-07-11 |
| 1558983569 | Anita Lyn Peterson | Massage Therapist | 6645 Gleneden Beach Loop, Gleneden Beach, OR 97388-9700 | 2020-05-13 |
| 1528413291 | Beachside Family Dentistry | Dentist | 6645 Gleneden Beach Loop, Gleneden Beach, OR 97388-9700 | 2016-04-29 |
| Find all providers in zip 97388 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
| City | GLENEDEN BEACH |
| Zip Code | 97388 |
Please comment or provide details below to improve the information on DEAN ROBINS WENTWORTH.
| 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.