PRAIRIE OAK (NPI# 1801086095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801086095 |
| Entity Type | Individual |
| Full Name | PRAIRIE OAK |
| Practice Address |
627 N Evans St Mcminnville OR 97128-3923 |
| Practice Telephone | 5034347523 |
| Mailing Telephone | 5034347523 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
627 N EVANS ST |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043419757 | Randy Peterson | Registered Nurse | 627 N Evans St, Mcminnville, OR 97128-3923 | 2007-07-12 |
| 1275834673 | Susan Gaieen Clark | Social Worker | 627 N Evans St, Mcminnville, OR 97128-3923 | 2010-11-16 |
| 1063658821 | Aida Apple | Registered Nurse | 627 N Evans St, Mcminnville, OR 97128-3923 | 2008-12-29 |
| 1740454206 | Tom Weinstock-blair | Social Worker | 627 N Evans St, Mcminnville, OR 97128-3923 | 2008-04-16 |
| 1912182569 | Elizabeth Downs | Social Worker | 627 N Evans St, Mcminnville, OR 97128-3923 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003382169 | Devin Alex Lisdero | Case Manager/Care Coordinator | 422 Ne 5th St, Mcminnville, OR 97128-4604 | 2018-10-16 |
| 1376899914 | Christopher Lamont Rippy | Case Manager/Care Coordinator | 1252 Miriah Dr, Mcminnville, TN 37110-5309 | 2012-08-01 |
| 1730481904 | Elizabeth Fernley | Case Manager/Care Coordinator | 1535 Sw Shirley Ann Dr, Mcminnville, OR 97128-7665 | 2010-11-22 |
| 1679727754 | Heather Lavelle Dixon | Case Manager/Care Coordinator | 1525 Sw Shirley Ann Dr, Mcminnville, OR 97128-7665 | 2008-11-16 |
| 1043824972 | Sydney Rose Phillips | Case Manager/Care Coordinator | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2020-09-08 |
| 1841817830 | Matthew Scott Haning | Case Manager/Care Coordinator | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2020-06-25 |
| 1033735626 | Jamie Jolyn Smith | Case Manager/Care Coordinator | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-06-19 |
| 1508499211 | Sarah C Schwartz | Case Manager/Care Coordinator | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2020-02-20 |
| 1629608484 | Krista Dawn Hill | Case Manager/Care Coordinator | 435 Ne Evans St, Mcminnville, OR 97128-4628 | 2020-01-21 |
| 1467916494 | Ricardo Buzollo Prata | Case Manager/Care Coordinator | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2019-01-23 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
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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.