ANNE DAUGHERTY (NPI# 1700233087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700233087 |
| Entity Type | Individual |
| Full Name | ANNE DAUGHERTY |
| Practice Address |
1003 E Main St Ste 104 Medford OR 97504-7140 |
| Practice Telephone | 5417791282 |
| Mailing Telephone | 5417791282 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
096000639RN | OR | Nursing Service Providers |
| Street Address |
1003 E MAIN ST STE 104 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467764134 | Elizabeth Noami Long | Counselor | 1003 E Main St Ste 104, Medford, OR 97504 | 2010-07-09 |
| 1093358194 | Leticia Parra Aguilar | Peer Specialist | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2019-10-21 |
| 1578113791 | Kim Oveson | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2019-09-19 |
| 1841786555 | Shelaine M Quall | Peer Specialist | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2018-07-05 |
| 1770099467 | Zoe Ariel Rossing | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2017-12-18 |
| 1174077978 | Christine Mason | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-08-09 |
| 1346697687 | Allan Rucker | Peer Specialist | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1548617889 | Jackie M Jones | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1326495607 | Nicole Elliott | Registered Nurse | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1366899734 | Deana Carvalho | Personal Emergency Response Attendant | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366076333 | Brittany L Jones | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-02-27 |
| 1407336449 | Denise Kesti Ewing | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2018-08-20 |
| 1932686110 | Marla Kay Barnes | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2018-07-20 |
| 1598204109 | Stacey Nelson | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2017-02-15 |
| 1326495607 | Nicole Elliott | Registered Nurse | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104458652 | Jorge I Deluna | Registered Nurse | 944 68th St, Springfield, OR 97478-2108 | 2020-02-12 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1710266226 | Anne Brown | Registered Nurse | 2165 Sw Main St, Portland, OR 97205-1123 | 2011-08-15 |
| 1942508726 | Judy Christine Hough | Registered Nurse | 1316 Sw Washington St, Portland, OR 97205-2327 | 2011-03-03 |
| 1114013919 | Sharon Kay Schmidt | Registered Nurse | 1181 Sw Ramsey Ave, Grants Pass, OR 97527 | 2006-10-05 |
| 1639791999 | Todd Yates | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-05-10 |
| 1780210914 | Carrie Tierney | Registered Nurse | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-03-19 |
| 1841820735 | Adrian Herrera Gonzalez | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-21 |
| 1295375129 | Angeline Maria Huserik Cowles | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-08 |
| 1982258075 | Ashley Marie Cramer | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2019-07-28 |
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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.