ERICA PEREZ (NPI# 1629533633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629533633 |
| Entity Type | Individual |
| Full Name | ERICA PEREZ |
| Practice Address |
1501 6th St La Grande OR 97850-2419 |
| Mailing Address |
1101 I Ave La Grande OR 97850-2043 |
| Practice Telephone | 5419620162 |
| Mailing Telephone | 5419620162 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 18-CRM-076 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911174 | Erica Perez | Behavior Technician | 295 Pleasant St Fl 2, Gardner, MA 01440-2928 | 2018-11-21 |
| 1972934750 | Erica Perez | Licensed Practical Nurse | 152 Calebs Path, Brentwood, NY 11717-2516 | 2013-12-04 |
| 1356694145 | Erica Ann Perez | Psychologist | 3601 W Alberta Rd, Edinburg, TX 78539-9667 | 2012-10-18 |
| 1649442427 | Erica Christine Perez | Chiropractor | 5706 E Mockingbird Ln, Suite 220, Dallas, TX 75206-5460 | 2008-04-01 |
| 1205995479 | Erica Perez | Social Worker | 406 Via De La Cruz, Santa Maria, CA 93455 | 2006-12-06 |
| 1639783327 | Erica Leeana Perez | Pharmacist | 1992 Lancaster Dr Ne, Salem, OR 97305-1021 | 2020-09-01 |
| 1871098525 | Erica Perez | Behavior Technician | 9507 Sw 160th St Ste 250, Miami, FL 33157-3373 | 2018-03-26 |
| 1164872495 | Erica Perez | Social Worker | 669 S Haywood St, Waynesville, NC 28786-6703 | 2016-06-17 |
| 1063816478 | Erica Perez | Nurse Practitioner | 4418 N Mccoll Rd, Mcallen, TX 78504-2480 | 2014-10-14 |
| 1396157913 | Erica Perez | Family Medicine | 701 E 16th St, Berwick, PA 18603-2316 | 2014-06-02 |
| Street Address |
1501 6TH ST |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124148465 | Brian Rodney Spencer | Dentist | 1501 6th St, La Grande, OR 97850 | 2007-03-30 |
| 1396367280 | Matthew A Christensen | Peer Specialist | 1501 6th St, La Grande, OR 97850-2419 | 2020-05-13 |
| 1174012041 | Jessie G Wise | Peer Specialist | 1501 6th St, La Grande, OR 97850-2419 | 2018-05-07 |
| 1548759855 | Summer Bryan | Peer Specialist | 1501 6th St, La Grande, OR 97850-2419 | 2018-05-02 |
| 1508310384 | Amber Diederich | Counselor | 1501 6th St, La Grande, OR 97850-2419 | 2016-08-09 |
| 1184084188 | Michelle Cartharius | Counselor | 1501 6th St, La Grande, OR 97850-2419 | 2016-03-03 |
| 1275993313 | Douglas Whipple | Counselor | 1501 6th St, La Grande, OR 97850-2419 | 2016-03-02 |
| 1245699271 | Julie Bean | Counselor | 1501 6th St, La Grande, OR 97850-2419 | 2016-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367280 | Matthew A Christensen | Peer Specialist | 1501 6th St, La Grande, OR 97850-2419 | 2020-05-13 |
| 1174012041 | Jessie G Wise | Peer Specialist | 1501 6th St, La Grande, OR 97850-2419 | 2018-05-07 |
| 1548759855 | Summer Bryan | Peer Specialist | 1501 6th St, La Grande, OR 97850-2419 | 2018-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
| 1578162145 | Kenneth Branson | Peer Specialist | 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 | 2020-10-23 |
| 1962000554 | Dawn Marks | Peer Specialist | 21440 Se Stark St, Gresham, OR 97030-2024 | 2020-10-15 |
| 1679188080 | Michelle Marie Bunkers | Peer Specialist | 20517 Jacklight Ln, Bend, OR 97702-2971 | 2020-09-11 |
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1528677820 | Charice Monette | Peer Specialist | 4151 Kacey Cir Ne, Salem, OR 97305-4504 | 2020-07-23 |
| 1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
| 1982237236 | Jessica M Montoya | Peer Specialist | 235 Se Knowledge St, Prineville, OR 97754-2362 | 2020-02-14 |
| 1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
| 1730711953 | Michael Anthony Duran | Peer Specialist | 1515 Hill St Se, Albany, OR 97322-6715 | 2020-02-05 |
| 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.