JEREMY BRODHEAD (NPI# 1801272513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801272513 |
| Entity Type | Individual |
| Full Name | JEREMY BRODHEAD |
| Credential | N.P. |
| Practice Address |
211 Nw Larch Ave Redmond OR 97756-1357 |
| Mailing Address |
Po Box 5579 Bend OR 97708-5579 |
| Practice Telephone | 5415482164 |
| Practice Fax Number | 5415480534 |
| Mailing Telephone | 5415482164 |
| Mailing Fax Number | 5415480534 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 200843322RN | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
211 NW LARCH AVE |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-1357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912945619 | Mark A Valenti | Family Medicine | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2006-06-03 |
| 1114584331 | Timothy Michael Baumgarte | Nurse Practitioner | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2019-05-22 |
| 1528462272 | Kathleen Pyatek | Physician Assistant | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2014-10-09 |
| 1235579194 | Molly Laue Garbus | Student in an Organized Health Care Education/Training Program | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2013-06-25 |
| 1568710382 | Amy Bidwell Tatom | Nurse Practitioner | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2012-08-28 |
| 1942564281 | Mark Warnholz Williams | Family Medicine | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2012-07-02 |
| 1750674412 | Ruperto Castaneda Vallarta Jr. | Pediatrics | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2011-05-26 |
| 1255635785 | St. Charles Health System, Inc. | Family Medicine | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2010-12-23 |
| 1508187675 | Sing-wei Ho | Family Medicine | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2010-06-11 |
| 1306162789 | Nancy Dayzie Heavilin | Pediatrics | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2010-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881140796 | Cindy Ann Catlin | Nurse Practitioner | 15515 Ne 60th St, Redmond, WA 98052-5147 | 2016-08-30 |
| 1053508549 | Laura Jean Cheshire | Nurse Practitioner | 218 Sw 4th St, Redmond, OR 97756-0535 | 2007-09-27 |
| 1508419920 | Alana Scheibe | Nurse Practitioner | 16225 Ne 87th St, Redmond, WA 98052-3536 | 2019-07-24 |
| 1013400589 | Ee Hoon Ong | Nurse Practitioner | 2217 152nd Ave Ne Ste 100, Redmond, WA 98052 | 2018-06-11 |
| 1548676752 | Stephanie Dionne Benson | Nurse Practitioner | 16315 Ne 87th St Ste B6, Redmond, WA 98052-3537 | 2014-07-08 |
| 1831399807 | Tanya Mae Beard | Nurse Practitioner | 203 Sw 8th St, Redmond, OR 97756-2117 | 2007-07-19 |
| 1639394133 | Robert Ostrom | Nurse Practitioner | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-04-17 |
| 1245356815 | Joyce A Beck | Nurse Practitioner | 236 Nw Kingwood Ave, Suite B, Redmond, OR 97756-1324 | 2007-03-22 |
| 1790831360 | Linda L. Hylton Cahill | Nurse Practitioner | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-26 |
| 1215088075 | Beverly J. Karbowski | Nurse Practitioner | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-16 |
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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.