KATHLEEN SIEBE (NPI# 1750374021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750374021 |
| Entity Type | Individual |
| Full Name | KATHLEEN SIEBE |
| Credential | PNP |
| Practice Address |
603 Medical Parkway Enterprise OR 97828-1168 |
| Practice Telephone | 5414264502 |
| Practice Fax Number | 5414266403 |
| Mailing Telephone | 5414264502 |
| Mailing Fax Number | 5414266403 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2013-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
78040158 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BCBS | 5966003 | 01 |
| OR | PACIFIC SOURCE | J054904 | 01 |
| OR | 267989 | 05 |
| Street Address |
603 MEDICAL PARKWAY |
| City | ENTERPRISE |
| State | OR |
| Zip Code | 97828-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083829402 | Keith Richard De Young | Family Medicine | 603 Medical Parkway, Enterprise, OR 97828-1168 | 2007-05-10 |
| 1164456539 | Elizabeth Carol Powers | Family Medicine | 603 Medical Parkway, Enterprise, OR 97828-1168 | 2006-07-10 |
| 1588658801 | Kenneth D Rose | Surgery | 603 Medical Parkway, Enterprise, OR 97828 | 2005-09-01 |
| 1356334601 | Renee E Grandi | Family Medicine | 603 Medical Parkway, Enterprise, OR 97828-1168 | 2005-08-23 |
| 1568455822 | Scott K Siebe | Internal Medicine | 603 Medical Parkway, Enterprise, OR 97828-1168 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1295297794 | Kindra Dawn Peterson | Case Manager/Care Coordinator | 700 Walter Street Sp. 21, Enterprise, OR 97828 | 2019-04-03 |
| 1518472968 | Kurt Alan Boesger | Pharmacist | 306 West North Street, Enterprise, OR 97828 | 2017-12-07 |
| 1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1780040022 | Dolores Irene Beck | Counselor | 207 Sw 1st Street, Enterprise, OR 97828 | 2015-12-31 |
| 1245530344 | Olive Branch Family Health Inc | General Practice | 306 W North Street, Enterprise, OR 97828 | 2010-10-24 |
| 1952615163 | Red Cross United Drug, Inc. | Pharmacy | 306 West North St., Enterprise, OR 97828 | 2010-07-29 |
| 1386788131 | Gale A Barton | Chiropractor | 109 East Main St, Enterprise, OR 97828 | 2007-02-16 |
| Find all providers in zip 97828 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043500465 | Julie Frances Hughes | Nurse Practitioner | 101 Professional Ln, Enterprise, AL 36330-2085 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197705 | Kelsey-jo Audrey Moss | Nurse Practitioner | 704b Ne 62nd Ave, Portland, OR 97213-4351 | 2019-10-30 |
| 1295273399 | Shaudine Woody | Nurse Practitioner | 11790 Sw Barnes Rd Ste 140, Portland, OR 97225-5938 | 2017-02-08 |
| 1457707390 | Sarah Halstead | Nurse Practitioner | 2421 Washburn Way, Klamath Falls, OR 97603-4525 | 2016-05-10 |
| 1164829578 | Debdeep Nath | Nurse Practitioner | 12225 Sw 2nd St Ste 150, Beaverton, OR 97005 | 2014-12-01 |
| 1003239120 | Iva Juric | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011 | 2014-01-24 |
| 1912339896 | Gabrielle Marie Petersen | Nurse Practitioner | 1713 Penn Ln, Oregon City, OR 97045-1528 | 2013-08-02 |
| 1811249592 | Pollee Hruby Brookings | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw7, Portland, OR 97239-3098 | 2012-10-05 |
| 1033470646 | Chelsea Doherty | Nurse Practitioner | 14480 Sw 90th Ave, Portland, OR 97224 | 2012-05-31 |
| 1972814440 | Alicia Marie Mcintire | Nurse Practitioner | 995 Willagillespie Rd # 100, Eugene, OR 97401-2186 | 2010-06-29 |
| 1255662953 | Elizabeth T Millan | Nurse Practitioner | 2150 Ne Daggett Ln, Bend, OR 97701-6560 | 2010-01-19 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 97828 |
Please comment or provide details below to improve the information on KATHLEEN SIEBE.
| 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.