MS. KIETA LEE (NPI# 1649540600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649540600 |
| Entity Type | Individual |
| Full Name | MS. KIETA LEE |
| Credential | RN BSN |
| Practice Address |
621 W Madrone St Roseburg OR 97470-3090 |
| Practice Telephone | 5414403684 |
| Practice Fax Number | 5414643914 |
| Mailing Telephone | 5414403684 |
| Mailing Fax Number | 5414643914 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
200642673 | OR | Nursing Service Providers |
| Street Address |
621 W MADRONE ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-3090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174571244 | Linda Lou Westfall | Nurse Practitioner | 621 W Madrone St, Suite 223, Roseburg, OR 97470-3090 | 2006-05-04 |
| 1093322919 | Natasha Ritson | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-24 |
| 1427664630 | Sara Clark | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-22 |
| 1538775754 | Aurora Petterson | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-22 |
| 1730794884 | Paige Nicole Hosford | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-14 |
| 1922612035 | Fatima Jalloh | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-04 |
| 1013528272 | Mae L Hoopes | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-08-12 |
| 1265040018 | Angelica Laurent | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-07-17 |
| 1417574898 | Bryn Orr | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-07-01 |
| 1508481912 | Jeremy Michael Smith | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-06-11 |
| Find all providers in the same location | ||||
| 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 | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578980918 | Diane Carol Robinson | Registered Nurse | 4285 Stella St, Roseburg, OR 97471-4771 | 2014-03-24 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1497002018 | Katherin Stone | Registered Nurse | 219 Buena Vista Ln, Roseburg, OR 97471-4401 | 2012-08-14 |
| 1457643629 | Paige Leigh Fisher | Registered Nurse | 248 Buffalo Ln, Roseburg, OR 97471-9766 | 2011-05-06 |
| 1952572422 | Barbara J. Holmes | Registered Nurse | 268 Bramble Way, Roseburg, OR 97470-9364 | 2008-03-12 |
| 1518987262 | Dora Haymond | Registered Nurse | 8041 N Bank Rd, Roseburg, OR 97470-9466 | 2006-07-19 |
| 1780064220 | Ashley N Pittam | Registered Nurse | 621 W Madrone St, Roseburg, OR 97470-3090 | 2015-05-30 |
| 1740693779 | Tarra Simone | Registered Nurse | 621 W Madrone St, Roseburg, OR 97470-3090 | 2014-06-06 |
| 1669738738 | Anita Ruth Mcintyre | Registered Nurse | 621 W Madrone St, Roseburg, OR 97470-3090 | 2012-04-03 |
| 1942570999 | Carol Lynn Daniels | Registered Nurse | 621 W Madrone St, Roseburg, OR 97470-3090 | 2012-01-09 |
| 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.