AMY DRISCOLL (NPI# 1528488251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528488251 |
| Entity Type | Individual |
| Full Name | AMY DRISCOLL |
| Practice Address |
11261 Ne Knott St Portland OR 97220-1704 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032538883 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215977905 | Amy E Driscoll | Physical Therapist | 5630 E Santa Ana Canyon Rd, #150, Anaheim, CA 92807-3122 | 2006-06-08 |
| 1295821403 | Amy Barbara Driscoll | Pediatrics | 5881 W 16th St, Greeley, CO 80634-2910 | 2006-10-05 |
| 1437261864 | Amy P Driscoll | Physical Therapist | 34 Garland Dr, Jackson, TN 38305-3654 | 2006-08-31 |
| Street Address |
11261 NE KNOTT ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811034069 | Phyllis Michelle Braxton | Case Manager/Care Coordinator | 11261 Ne Knott St, Portland, OR 97220-1704 | 2007-01-30 |
| 1467924928 | Jacqueline Potts | Social Worker | 11261 Ne Knott St, Portland, OR 97220-1704 | 2018-12-21 |
| 1801290408 | Miranda Tai Campbell | Case Manager/Care Coordinator | 11261 Ne Knott St, Portland, OR 97220-1704 | 2014-10-10 |
| 1184906406 | Byron Keith Redmond | Adult Companion | 11261 Ne Knott St, Portland, OR 97220-1704 | 2011-09-13 |
| 1093008088 | Jessica Sadie Burchett | Counselor | 11261 Ne Knott St, Portland, OR 97220-1704 | 2011-05-24 |
| 1568786218 | Tracie O Randall | Case Manager/Care Coordinator | 11261 Ne Knott St, Portland, OR 97220-1704 | 2010-03-24 |
| 1952625691 | Sarah Ella Morrill | Case Manager/Care Coordinator | 11261 Ne Knott St, Portland, OR 97220-1704 | 2010-03-24 |
| 1467591768 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 11261 Ne Knott St, Portland, OR 97220-1704 | 2007-02-05 |
| 1811034580 | Darlene Stacy Prodehl | Case Manager/Care Coordinator | 11261 Ne Knott St, Portland, OR 97220-1704 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271462 | Taylor Salter | Adult Companion | 7018 N Armour St, Portland, OR 97203-6132 | 2019-08-21 |
| 1235785429 | Lonzall Tatum | Adult Companion | 1212 Sw Clay St Apt 409, Portland, OR 97201-7822 | 2019-08-13 |
| 1205303021 | Imani Anderson | Adult Companion | 434 Ne Roselawn St, Portland, OR 97211-3826 | 2018-10-30 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1104364900 | Rosanna Hunnicutt | Adult Companion | 2601 Se 160th Ave, Portland, OR 97236-2092 | 2017-02-01 |
| 1043755028 | Raolat Ajibade IIi | Adult Companion | 847 N.e 19thave, Portland, OR 97232 | 2016-12-29 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1255789731 | Sherri Schroeder | Adult Companion | 847 Ne 19th Ave., Suite100, Portland, OR 97232 | 2016-05-25 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1609241371 | Denise Broom | Adult Companion | 25 Ne Stafford St, Portland, OR 97211-2241 | 2015-12-07 |
| Find all providers in PORTLAND | ||||
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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.