ANN R SEDLACEK (NPI# 1629178835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629178835 |
Entity Type | Individual |
Full Name | ANN R SEDLACEK |
Credential | PMHNP |
Practice Address |
428 Se Chadwick St Roseburg OR 97470-4340 |
Practice Telephone | 5414302594 |
Practice Fax Number | 8883892677 |
Mailing Telephone | 5414302594 |
Mailing Fax Number | 8883892677 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2016-06-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
085075393N6 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
428 SE CHADWICK ST |
City | ROSEBURG |
State | OR |
Zip Code | 97470-4340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
Find all providers in zip 97470 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
1801978382 | Janet G. Eggers | Nurse Practitioner | 621 W. Madrone St, Roseburg, OR 97470-3090 | 2006-10-20 |
1811327364 | Suellen Adams Mclaughlin | Nurse Practitioner | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2013-11-20 |
1215244793 | Carlie G Corbin | Nurse Practitioner | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2010-09-07 |
1942365812 | Nancy A West | Nurse Practitioner | 621 W Madrone St, Roseburg, OR 97470-3090 | 2006-12-22 |
1730298977 | Cassandra Mae Donlon-silvestri | Nurse Practitioner | 913 Nw Garden Vally Blvd, Roseburg Veterans Administration Health Care System, Roseburg, OR 97470 | 2006-08-30 |
1891803532 | Elizabeth A. Davis | Nurse Practitioner | 913 Nw Garden Valley Blvd, Mhc (200), Roseburg, OR 97470-6523 | 2006-08-25 |
1528093721 | Va Roseburg Health Care System | Nurse Practitioner | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-07-12 |
1992720965 | Tamara R Lee | Nurse Practitioner | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2006-07-12 |
1013949676 | Jo Ann G. Berenbach | Nurse Practitioner | 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470-6523 | 2006-07-06 |
Find all providers in ROSEBURG |
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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.