MRS. LYNN MARIE LIEUALLEN (NPI# 1629069893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629069893 |
| Entity Type | Individual |
| Full Name | MRS. LYNN MARIE LIEUALLEN |
| Credential | FNP |
| Practice Address |
2461 Sw Perkins Ave Pendleton OR 97801-4301 |
| Practice Telephone | 5412760250 |
| Practice Fax Number | 5412760253 |
| Mailing Telephone | 5412760250 |
| Mailing Fax Number | 5412760253 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2013-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 200350090NPFNPPP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 297428 | 05 |
| Street Address |
2461 SW PERKINS AVE |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952630576 | Pediatric Specialists of Pendleton, LLC | Clinic/Center | 2461 Sw Perkins Ave, Pendleton, OR 97801-4301 | 2009-12-10 |
| 1548284391 | Teri Lee Rosselle | Nurse Practitioner | 2461 Sw Perkins Ave, Pendleton, OR 97801-4301 | 2006-07-26 |
| 1407837719 | Sara Schweigert Rickman | Pediatrics | 2461 Sw Perkins Ave, Pendleton, OR 97801-4301 | 2005-11-14 |
| 1518948819 | Rhonda Lynn Wyland | Pediatrics | 2461 Sw Perkins Ave, Pendleton, OR 97801-4301 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| 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 |
|---|---|---|---|---|
| 1821290743 | Taris Gonzalez | Nurse Practitioner | 8391 S Shady Trail Dr, Pendleton, IN 46064-8652 | 2007-06-04 |
| 1942670922 | Colleen Thurman | Nurse Practitioner | 46314 Timine Way, Pendleton, OR 97801 | 2015-10-02 |
| 1548284391 | Teri Lee Rosselle | Nurse Practitioner | 2461 Sw Perkins Ave, Pendleton, OR 97801-4301 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628417 | Biohax | Nurse Practitioner | 17933 Nw Evergreen Pkwy Ste 285, Beaverton, OR 97006-7661 | 2020-10-27 |
| 1932708526 | Rebecca Ann Mickel | Nurse Practitioner | 22244 Sw Nottingham Ct, Sherwood, OR 97140-9816 | 2020-10-23 |
| 1184221780 | Catherine Slade | Nurse Practitioner | 3640 Nw Samaritan Dr # 100, Corvallis, OR 97330-3784 | 2020-10-06 |
| 1689280620 | Danna Rae Morgan | Nurse Practitioner | 539 N Barneburg Rd, Medford, OR 97504-6678 | 2020-09-16 |
| 1740800283 | Digital Clinic LLC | Nurse Practitioner | 30 E 33rd Ave Unit 5822, Eugene, OR 97405-0819 | 2020-04-24 |
| 1356977144 | Maria Elena Rivera | Nurse Practitioner | 1801 Highway 99 N Ste B, Ashland, OR 97520-9152 | 2020-03-12 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1073097242 | Shirley Deveere Reynolds | Nurse Practitioner | 998 Inlet Loop, Coos Bay, OR 97420-4446 | 2018-09-24 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1497249007 | Kansys Clouse | Nurse Practitioner | 1639 Se Ensign Ln # B103, Warrenton, OR 97146-7308 | 2018-06-18 |
| Find all providers with the same taxonomy | ||||
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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.