KAITLYN MARY MCGOWAN (NPI# 1619513769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619513769 |
| Entity Type | Individual |
| Full Name | KAITLYN MARY MCGOWAN |
| Credential | AGPCNP-BC |
| Practice Address |
3445 Boone Rd Se Salem OR 97317-9336 |
| Mailing Address |
930 Nw 12th Ave Apt 101 Portland OR 97209-3067 |
| Practice Telephone | 4127209570 |
| Mailing Telephone | 4127209570 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 202008069NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 95013322 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2495 Hospital Drive, Mountain View, CA 94040 | 6509624370 | 6509624380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164892816 | Kaitlyn Mcgowan | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2015-10-06 |
| 1497030944 | Kaitlyn Mcgowan | Dietitian, Registered | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2011-10-17 |
| Street Address |
3445 BOONE RD SE |
| City | SALEM |
| State | OR |
| Zip Code | 97317-9336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215071998 | South Salem Rehabilitation, LLC | Skilled Nursing Facility | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2007-02-16 |
| 1134737513 | Virginia Rose Edwards Gray | Physical Therapist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2020-07-21 |
| 1376187815 | Colby L Curtis | Physical Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2019-10-28 |
| 1013576263 | Amber Khan | Speech-Language Pathologist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2019-06-11 |
| 1245720622 | Michelle Jean Thoreson | Physical Therapist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2018-05-11 |
| 1518481142 | Ryan Johnson | Physical Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2017-07-26 |
| 1093237620 | Kyleen Johnson | Speech-Language Pathologist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2017-07-14 |
| 1538608195 | Kendra Sinn | Physical Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2017-02-15 |
| 1912453952 | Sarah Bea Fischer | Occupational Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2016-08-30 |
| 1609322668 | Christina Dodini-marquez | Physical Therapist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2016-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962932996 | Corinna Leona Zib | Counselor | 4726 Appaloosa Ct Se, Salem, OR 97317 | 2017-06-13 |
| 1639537889 | Nikole Stormo | Massage Therapist | 4675 Campbell Dr Se Apt267, Salem, OR 97317 | 2016-02-03 |
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| 1235653569 | Alexis Panther | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317 | 2017-07-28 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1841410057 | Jennifer Krug | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317 | 2007-04-27 |
| 1649498262 | Carol Adams | Social Worker | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2007-04-20 |
| 1992114490 | Pathways - Child and Family Services - LLC | Community/Behavioral Health | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2014-08-08 |
| 1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| Find all providers in zip 97317 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759012 | Caleb James Calder | Nurse Practitioner | 11 Oakland St, Salem, MA 01970-1520 | 2020-01-20 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1407371388 | Debra Lee Jenkins | Nurse Practitioner | 1905 Mcvitty Rd, Salem, VA 24153-7405 | 2017-08-11 |
| 1003282310 | Rachell Renee Davis | Nurse Practitioner | 1793 13th St. Se, Salem, OR 97302 | 2015-08-20 |
| 1194108365 | Danielle Marlene Dupuis | Nurse Practitioner | 810 Commercial St Se, Salem, OR 97302 | 2015-07-06 |
| 1306272471 | Josh Hooton | Nurse Practitioner | 251 W State Road 198 Ste 3, Salem, UT 84653-5608 | 2013-09-20 |
| 1104082197 | Richard Fredrick Meyers | Nurse Practitioner | 670 Hawthorne Ave Se, Suite 160, Salem, OR 97301-6884 | 2008-07-30 |
| 1831398122 | Karlen E Luthy | Nurse Practitioner | 118 N Main St Ste B, Salem, UT 84653-5698 | 2007-07-16 |
| 1174603401 | Anthony G Haralabatos | Nurse Practitioner | 59 Stiles Rd 104, Salem, NH 03079-5816 | 2006-10-17 |
| 1457378044 | Robert M Wilkinson | Nurse Practitioner | 141 Hospital Dr Ste 103, Salem, KY 42078-8043 | 2006-07-17 |
| Find all providers in SALEM | ||||
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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.