JENNIFER UPCRAFT (NPI# 1629499504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629499504 |
| Entity Type | Individual |
| Full Name | JENNIFER UPCRAFT |
| Practice Address |
1545 Harbeck Rd Grants Pass OR 97527-5605 |
| Mailing Address |
1221 W Lakeview Ave Pensacola FL 32501-1857 |
| Practice Telephone | 5414792371 |
| Mailing Telephone | 8504693500 |
| Mailing Fax Number | 8505951400 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
202005777NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9396651 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1221 W Lakeview Ave, Pensacola, FL 325011857 | 8504693500 | 8505951400 |
| Street Address |
1545 HARBECK RD |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080357 | Lori Julia Krayer | Registered Nurse | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2005-11-21 |
| 1649870247 | Haley Starkey | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2020-11-01 |
| 1447861349 | Shannon Wolters | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2020-08-13 |
| 1053920231 | Jeanna Swanson | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2020-07-23 |
| 1649888041 | Krisinda Lee Williams | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2020-07-21 |
| 1316579972 | Maureen Schwartz | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2020-02-11 |
| 1053959239 | Cory Campbell | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2019-12-18 |
| 1275174450 | Scott Matthew Hyde | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2019-09-30 |
| 1295389427 | Patricia Arleen Kraemer | Peer Specialist | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2019-07-25 |
| 1922651892 | Eleanor Thomas | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2019-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| 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 |
|---|---|---|---|---|
| 1649821216 | Jodi Michelle Bostwick | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2019-09-25 |
| 1609937283 | Gabriella Amarei | Nurse Practitioner | 714 Nw 5th St, Grants Pass, OR 97526-1529 | 2006-12-13 |
| 1700998242 | Susan J. Bausserman | Nurse Practitioner | 1181 Ramsey Ave, Grants Pass, OR 97527-5821 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1629687892 | Robin Sue Finney | Nurse Practitioner | 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 | 2020-07-23 |
| 1518584457 | Akhena Health & Wellness LLC | Nurse Practitioner | 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 | 2020-06-26 |
| 1447871678 | Monarch Mental Health LLC | Nurse Practitioner | 1927 Channel St, North Bend, OR 97459-1826 | 2020-04-28 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1366071607 | Med Rx Partners, P.C. | Nurse Practitioner | 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 | 2020-04-08 |
| 1417583170 | Brittany Joy Monson | Nurse Practitioner | 12115 Sw 70th Ave, Tigard, OR 97223-9647 | 2020-03-13 |
| 1073147716 | Paradigm Mental Health and Wellness LLC | Nurse Practitioner | 724 S Central Ave Ste 101d, Medford, OR 97501-7808 | 2020-03-02 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
Please comment or provide details below to improve the information on JENNIFER UPCRAFT.
| 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.