AMELIA KATHLEEN CANCILLA (NPI# 1669960530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669960530 |
| Entity Type | Individual |
| Full Name | AMELIA KATHLEEN CANCILLA |
| Credential | DTTAC LIFESTYLE COAC |
| Practice Address |
528 E Main St Ste E John Day OR 97845-1289 |
| Practice Telephone | 5415750429 |
| Mailing Telephone | 5415750429 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
528 E MAIN ST STE E |
| City | JOHN DAY |
| State | OR |
| Zip Code | 97845-1289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164694840 | Linda S Sprouffske | Registered Nurse | 528 E Main St Ste E, John Day, OR 97845-1289 | 2008-04-02 |
| 1396192977 | Marley Winkelman | Dental Hygienist | 528 E Main St Ste E, John Day, OR 97845-1289 | 2016-05-24 |
| 1043482730 | John Combs | Registered Nurse | 528 E Main St Ste E, John Day, OR 97845-1289 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
| 1427526433 | Steven Duane Baldwin | Counselor | 60483 Highway 26, John Day, OR 97845 | 2018-11-07 |
| 1720323835 | Community Counseling Solutions | Respite Care | 194 Ford Road, John Day, OR 97845 | 2012-11-29 |
| 1669786174 | Emily A Lieuallen | Family Medicine | Strawberry Wilderness Clinic, 180 Ford Rd., John Day, OR 97845 | 2010-07-27 |
| 1790945707 | Joe Nelson Boyer | Counselor | 528 E Main Suite W, John Day, OR 97845 | 2008-06-12 |
| 1326231440 | Patricia Lynn Wright | Case Manager/Care Coordinator | 528 E Main, Suite W, John Day, OR 97845 | 2007-08-22 |
| 1417092271 | Virginia L Mcmillian | Dentist | 150 Ogilvie Dr, John Day, OR 97845 | 2007-02-20 |
| 1144329863 | Grant County Center for Human Development | Counselor | 528 East Main St, Suite W, John Day, OR 97845 | 2006-09-21 |
| 1992812754 | Sarah Russ | Physical Therapist | 170 Ford Rd, John Day, OR 97845 | 2006-08-25 |
| 1871596841 | Bennette Edward Norton IIi | Family Medicine | 180 Ford Road, John Day, OR 97845 | 2005-05-24 |
| Find all providers in zip 97845 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120323 | James David Bongcayao | Health Educator | 2420 Kincaid St, Eugene, OR 97405-3056 | 2020-10-01 |
| 1215557319 | Genevieve White | Health Educator | 67477 E Bright Ct, Welches, OR 97067-8708 | 2020-04-20 |
| 1396365656 | Amy L Davis-bruner | Health Educator | 1320 Nw 27th St, Corvallis, OR 97330-2445 | 2020-04-16 |
| 1295361061 | Timothy Patching | Health Educator | 7650 S Prairie Rd, Tillamook, OR 97141-9542 | 2020-03-12 |
| 1942835616 | Julie Ann Krohn | Health Educator | 34600 Cape Kiwanda Dr, Pacific City, OR 97135-8020 | 2020-03-03 |
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1033755517 | Suzanne Bjaranson | Health Educator | 2002 Se Chokeberry Ave, Warrenton, OR 97146-7340 | 2019-11-20 |
| 1952942252 | Olga Householder | Health Educator | 300 Sw Hill Rd, Mcminnville, OR 97128-9133 | 2019-10-08 |
| 1598323040 | Deschutes County Oregon | Health Educator | 1130 Nw Harriman St, Bend, OR 97703-1977 | 2019-05-30 |
| 1013477686 | Brenda Louise Duerksen | Health Educator | 8800 Se Sunnyside Rd Ste 224s, Clackamas, OR 97015-5770 | 2019-03-21 |
| 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.