KRISTEN DERYN ANGERSTIEN (NPI# 1801316013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801316013 |
| Entity Type | Individual |
| Full Name | KRISTEN DERYN ANGERSTIEN |
| Credential | PHARMD |
| Practice Address |
2870 Ne West Devils Lake Rd Lincoln City OR 97367-5127 |
| Mailing Address |
1554 Se Port Dr Lincoln City OR 97367-2607 |
| Practice Telephone | 5419967296 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0014101 | OR | Pharmacy Service Providers |
| Street Address |
2870 NE WEST DEVILS LAKE RD |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912949926 | Megan Jaye Sorensen | Nurse Practitioner | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-06-12 |
| 1023584398 | Benjamin Laliberte | Psychologist | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2018-10-15 |
| 1841554177 | Samaritan North Lincoln Hospital | Internal Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2012-07-02 |
| 1306102561 | Samaritan North Lincoln | Internal Medicine | 2870 Ne West Devils Lake Rd, Suite B, Lincoln City, OR 97367-5127 | 2012-04-02 |
| 1568742658 | Samaritan North Lincoln Hospital | Clinic/Center | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2011-08-22 |
| 1376869941 | Kevin Glen Wherry | Internal Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2010-04-08 |
| 1801063839 | Alexa L La Faunce | Internal Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2008-05-08 |
| 1912074600 | Lincoln City Medical Center, PC | Internal Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-11-29 |
| 1316013626 | Marilyn Jean Fraser | Family Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-11-28 |
| 1679649230 | John Edward Bohlman | Emergency Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204659 | Lucas Thompson | Pharmacist | 4048 Ne Highway 101, Lincoln City, OR 97367-5069 | 2020-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
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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.