JUDITH GROOM (NPI# 1629427448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629427448 |
| Entity Type | Individual |
| Full Name | JUDITH GROOM |
| Credential | RN |
| Practice Address |
14255 Sw Brigadoon Ct Beaverton OR 97005-3369 |
| Practice Telephone | 9712465240 |
| Practice Fax Number | 9712465199 |
| Mailing Telephone | 9712465240 |
| Mailing Fax Number | 9712465199 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 200942329RN | OR | Nursing Service Providers |
| Street Address |
14255 SW BRIGADOON CT |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558461483 | Maybelle J Altman | Social Worker | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2006-09-22 |
| 1790224194 | Albert Kenneth Chiancone Jr. | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2017-02-17 |
| 1063950434 | Zuzana Kalas | Registered Nurse | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2017-02-06 |
| 1053856955 | Jose Luis Martinez-alcoser IIi | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-12-30 |
| 1952846032 | Kelly Richardson | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-12-29 |
| 1134662711 | Nancy Graser | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-11-30 |
| 1568914968 | Kassie Austyn Adolph | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-11-01 |
| 1295283471 | Nina Von Eggers | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-09-15 |
| 1467909739 | Andrew Tylor Hastings | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-09-05 |
| 1063873016 | Julie Nittler | Registered Nurse | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1649644881 | Tannaz Talepasand | Registered Nurse | 18180 Sw Sandra Ln, Beaverton, OR 97003-3833 | 2015-11-27 |
| 1114306743 | Nancy Marie Carle | Registered Nurse | 14090 Sw Teal Blvd, A17, Beaverton, OR 97008-9210 | 2015-05-28 |
| 1124381306 | Marianne Wengrin | Registered Nurse | 18870 Sw Aloha Ct, Beaverton, OR 97006 | 2012-06-21 |
| 1083938021 | Victoria Lynne Williams | Registered Nurse | 18110 Nw Cornell Rd, Apt. B, Beaverton, OR 97006-8657 | 2010-03-19 |
| 1508189242 | Beverly Sue Plack | Registered Nurse | 2155 Nw 153rd Pl, Beaverton, OR 97006-5635 | 2010-03-09 |
| 1760714851 | Brian David Larson | Registered Nurse | 7435 Sw Alpine Dr, Beaverton, OR 97008-8820 | 2010-02-01 |
| 1699914630 | Sonia Devonne Dumas | Registered Nurse | 4972 Sw 157th Pl, Beaverton, OR 97007 | 2009-02-16 |
| 1326295643 | Elaine Karen Willbanks | Registered Nurse | 14314 Sw Allen Blvd, 313, Beaverton, OR 97005-4403 | 2008-08-19 |
| 1326221144 | Carissa Kay Davis | Registered Nurse | 940 Sw 191st Ct, Beaverton, OR 97006-2460 | 2007-12-14 |
| 1114566700 | Lisa Chandler | Registered Nurse | 10700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3019 | 2019-12-30 |
| Find all providers in BEAVERTON | ||||
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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.