MRS. STACY MARIE BODLE (NPI# 1568816171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568816171 |
| Entity Type | Individual |
| Full Name | MRS. STACY MARIE BODLE |
| Credential | LPN |
| Practice Address |
420 Ne Mason St Portland OR 97211-3479 |
| Mailing Address |
14302 Brittany Ter Oregon City OR 97045-7156 |
| Practice Telephone | 5065469421 |
| Mailing Telephone | 5035469421 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 200730013LPN | OR | Nursing Service Providers |
| Street Address |
420 NE MASON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-3479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619993433 | Kelly Schoeppner | Registered Nurse | 420 Ne Mason St, Portland, OR 97211-3479 | 2006-07-14 |
| 1275156739 | Cheryl Lynn Naumoff | Registered Nurse | 420 Ne Mason St, Portland, OR 97211-3479 | 2020-05-19 |
| 1336795228 | Kathy Elaine Torres | Registered Nurse | 420 Ne Mason St, Portland, OR 97211-3479 | 2019-08-15 |
| 1104305234 | Michelle Dawn Goodwin | Licensed Practical Nurse | 420 Ne Mason St, Portland, OR 97211-3479 | 2018-08-09 |
| 1629576830 | Kimberly H. Nurmi | Physical Therapy Assistant | 420 Ne Mason St, Portland, OR 97211-3479 | 2018-01-23 |
| 1427568922 | Angela Marie Montgomery | Licensed Practical Nurse | 420 Ne Mason St, Portland, OR 97211-3479 | 2017-10-10 |
| 1992238794 | Yelena Demchenko | Registered Nurse | 420 Ne Mason St, Portland, OR 97211-3479 | 2017-04-07 |
| 1265881155 | Patricia Celia Lettenmaier | Occupational Therapy Assistant | 420 Ne Mason St, Portland, OR 97211-3479 | 2016-06-10 |
| 1215398821 | Andrew Flores | Licensed Practical Nurse | 420 Ne Mason St, Portland, OR 97211-3479 | 2016-03-09 |
| 1023497328 | Jeremy Talmadge Middleton | Registered Nurse | 420 Ne Mason St, Clinic, Portland, OR 97211-3479 | 2015-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| 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 |
|---|---|---|---|---|
| 1801448899 | David Terpea | Licensed Practical Nurse | 6920 Se Division St, Portland, OR 97206-1271 | 2019-07-10 |
| 1629565981 | Kufa Dekamo | Licensed Practical Nurse | 3708 Se 144th Ave, Portland, OR 97236-2731 | 2018-04-21 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1902344914 | Lacy Neal | Licensed Practical Nurse | 5737 Se Harold St, Portland, OR 97206-5526 | 2017-02-09 |
| 1720433691 | Megan Gauger | Licensed Practical Nurse | 3332 Se 7th Ave, Portland, OR 97202-2702 | 2016-04-28 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| 1285057083 | Kyle Epler | Licensed Practical Nurse | 4528 N 550 E, Portland, IN 47371-7956 | 2014-01-29 |
| 1902236813 | Laurie Cash | Licensed Practical Nurse | 8440 Fay St, Portland, NY 14769-9603 | 2013-11-14 |
| 1730436924 | Jonathan Edward Mondragon | Licensed Practical Nurse | 16141 E. Burnside St., Portland, OR 97233-3519 | 2012-08-07 |
| 1114299625 | Mai Nguyen | Licensed Practical Nurse | 3710 Southwest Veteran Hosp Road, Portland, OR 97239-2964 | 2012-01-30 |
| 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.