MRS. ROBERTA HELEN VAN DYKE (NPI# 1699829408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699829408 |
| Entity Type | Individual |
| Full Name | MRS. ROBERTA HELEN VAN DYKE |
| Credential | WHCNP |
| Practice Address |
3180 Center St Ne Salem OR 97301-4532 |
| Mailing Address |
16420 Nw Orchard View Rd Mcminnville OR 97128-8080 |
| Practice Telephone | 5035885342 |
| Practice Fax Number | 5035885353 |
| Mailing Telephone | 5034727168 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
000022302N7WHCNP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3180 CENTER ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275634420 | Lora Jean Hurlburt | Registered Nurse | 3180 Center St Ne, Salem, OR 97301-4532 | 2006-09-26 |
| 1306444849 | Elizabeth Fields | Case Manager/Care Coordinator | 3180 Center St Ne, Salem, OR 97301-4532 | 2020-10-16 |
| 1639777360 | Kyle Robinson | Counselor | 3180 Center St Ne, Salem, OR 97301-4532 | 2020-10-14 |
| 1013526318 | Nicole Costello | Case Manager/Care Coordinator | 3180 Center St Ne, Salem, OR 97301-4532 | 2020-07-23 |
| 1942827845 | Karmen Brown | Registered Nurse | 3180 Center St Ne, Salem, OR 97301-4532 | 2020-06-26 |
| 1134741606 | Monica Araceli Aguiar | Registered Nurse | 3180 Center St Ne, Salem, OR 97301-4532 | 2020-05-07 |
| 1760024178 | Shawnie Lee Campbell | Case Manager/Care Coordinator | 3180 Center St Ne, Salem, OR 97301-4532 | 2019-10-17 |
| 1124683800 | Ashley Nicole Flores | Case Manager/Care Coordinator | 3180 Center St Ne, Salem, OR 97301-4532 | 2019-05-07 |
| 1902367238 | Jorge Medina | Community Health Worker | 3180 Center St Ne, Salem, OR 97301-4532 | 2019-03-28 |
| 1760947550 | Michele Bowers | Case Management | 3180 Center St Ne, Salem, OR 97301-4532 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831420017 | Tamara Jean Wilson | Nurse Practitioner | 890 Oak St Se Ste 5050, Salem, OR 97301-3905 | 2010-01-27 |
| 1760415202 | Salem Womens Clinic, Inc | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-07-08 |
| 1699764001 | Lucinda Ann Angyal | Nurse Practitioner | 1305 Cannon St Se, Salem, OR 97302-2548 | 2005-10-18 |
| 1679038194 | Glynis Anne Flanigan | Nurse Practitioner | 3825 Wolverine St Ne, Salem, OR 97305-1201 | 2019-02-08 |
| 1306386982 | Kristin Fedorchak | Nurse Practitioner | 45 Stiles Rd, #101, Salem, NH 03079-4808 | 2017-03-02 |
| 1972908838 | Korinne Foster | Nurse Practitioner | 238 E Broadway, Salem, NJ 08079-1108 | 2014-11-04 |
| 1801056981 | Kristen Greiten Jamsa | Nurse Practitioner | 1535 State St, Salem, OR 97301-4255 | 2008-06-12 |
| 1194911032 | Donna Jean Niemela | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2007-09-24 |
| 1013061654 | Patricia Lynn Eich | Nurse Practitioner | 3180 Center St Ne, Salem, OR 97301-4532 | 2007-01-22 |
| 1770666430 | Lacinda R Campbell | Nurse Practitioner | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2006-10-24 |
| Find all providers in SALEM | ||||
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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.