BILLY JUNIOR NESIBA JR. (NPI# 1538775259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538775259 |
| Entity Type | Individual |
| Full Name | BILLY JUNIOR NESIBA JR. |
| Credential | LPN |
| Practice Address |
1201 Mclean Blvd Eugene OR 97405-1979 |
| Mailing Address |
5519 Cardiff St Eugene OR 97402-7549 |
| Practice Telephone | 5416832155 |
| Mailing Telephone | 3083790213 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 201910360LPN | OR | Nursing Service Providers |
| Street Address |
1201 MCLEAN BLVD |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116173 | Hillside Heights, LLC | Skilled Nursing Facility | 1201 Mclean Blvd, Eugene, OR 97405-1979 | 2005-07-05 |
| 1922551829 | Avalon Health Care - Hillside Heights, LLC | Skilled Nursing Facility | 1201 Mclean Blvd, Eugene, OR 97405-1979 | 2016-07-27 |
| 1538585658 | Debra Anne Knight | Licensed Practical Nurse | 1201 Mclean Blvd, Eugene, OR 97405-1979 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811415029 | Nicole Keck | Licensed Practical Nurse | 4120 Scenic Dr, Eugene, OR 97404-1253 | 2017-09-07 |
| 1649709288 | Lyndsi Bobst | Licensed Practical Nurse | 2840 Stark St, Eugene, OR 97404-1842 | 2017-06-07 |
| 1417306051 | Kristin Mcgee | Licensed Practical Nurse | 2791 Gilham Rd, Eugene, OR 97408-7105 | 2016-06-05 |
| 1629432562 | Melissa Lee | Licensed Practical Nurse | 3187 Duke Snider Ave, Eugene, OR 97402-6576 | 2016-04-06 |
| 1952764714 | Tricia Taylor | Licensed Practical Nurse | 321 Archie St, Eugene, OR 97402-2482 | 2016-03-30 |
| 1205201290 | Heather Skeele | Licensed Practical Nurse | 4075 Aerial Way Apt 208, Eugene, OR 97402-8741 | 2015-12-02 |
| 1164895504 | Cia Janine Grimes | Licensed Practical Nurse | 1680 Chambers St Ste 103, Eugene, OR 97402-3655 | 2015-11-06 |
| 1003287624 | Katherine Elder | Licensed Practical Nurse | 463 E Anchor Ave, Eugene, OR 97404-1459 | 2015-10-08 |
| 1831575570 | Deanna Gallaher | Licensed Practical Nurse | 5260 Sugarpine Cir, Eugene, OR 97402-1044 | 2015-08-05 |
| 1689064545 | Jason Imig | Licensed Practical Nurse | 2984 Floral Hill Dr, Eugene, OR 97403-2221 | 2015-01-30 |
| Find all providers in EUGENE | ||||
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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.