ROBERTA CAROL VILLA (NPI# 1821306085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821306085 |
| Entity Type | Individual |
| Full Name | ROBERTA CAROL VILLA |
| Credential | RN |
| Practice Address |
1270 Kot-num Road Warm Springs OR 97761 |
| Mailing Address |
Po Box 1209 1270 Kot Num Road Warm Springs OR 97761-1209 |
| Practice Telephone | 5415531196 |
| Practice Fax Number | 5415532135 |
| Mailing Telephone | 5415531196 |
| Mailing Fax Number | 5415532135 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 83433 | OK | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 273855 | 05 | |
| MEDICARE | MCR HS2204 | 01 |
| Street Address |
1270 KOT-NUM ROAD |
| City | WARM SPRINGS |
| State | OR |
| Zip Code | 97761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437172 | Joanne Wallis | Nurse Practitioner | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2005-06-16 |
| 1629623442 | Marilee Nizhoni Chapman | Pharmacist | 1270 Kot-num Road, Warm Springs, OR 97761 | 2019-08-08 |
| 1760933303 | Andrew Portier | Pharmacist | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2016-10-19 |
| 1194180570 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761 | 2015-12-29 |
| 1912339656 | Cristina D Miraflor | Registered Nurse | 1270 Kot-num Road, Warm Springs, OR 97761 | 2013-08-05 |
| 1962846592 | Elizabeth Johnson | Registered Nurse | 1270 Kot-num Road, Warm Springs, OR 97761 | 2013-04-25 |
| 1598016792 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2012-09-27 |
| 1821367806 | Susan Arlette Knight | Registered Nurse | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2011-12-21 |
| 1245417880 | Tracey L Hampton | Dietitian, Registered | 1270 Kot-num Road, Warm Springs, OR 97761 | 2008-01-25 |
| 1518085257 | Sara Lee Thomas | Dietitian, Registered | 1270 Kot-num Road, Warm Springs, OR 97761 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891850749 | Frank A Mendoza | Dentist | Warm Springs Indian Health Service Dental Clinic, 1270 Kot-num Road, Warm Springs, OR 97761 | 2006-12-22 |
| 1477596112 | Eric Bradford | Physical Therapist | 1270 Kotnum Rd., Warm Springs, OR 97761 | 2006-06-13 |
| 1629033527 | Lynette R Dziuk | Optometrist | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2006-04-20 |
| 1982690954 | Hai Tuan Tran | Podiatrist | 1270 Kot-num, Warm Springs, OR 97761 | 2005-09-23 |
| 1154320240 | James C Gemelas | Pharmacist | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1508863317 | Mitzie Althea Allen | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761 | 2005-07-07 |
| 1952303273 | Stephen Miles Rudd | Family Medicine | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2005-06-01 |
| 1184239956 | Brian Daniel Wojahn | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-09-09 |
| 1639789266 | Kasem Darwish El-hajji | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-08-07 |
| Find all providers in zip 97761 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285278564 | Lolita Dondriano Sova | Licensed Practical Nurse | 310 Pitney Ln Unit 68, Junction City, OR 97448-9675 | 2019-10-30 |
| 1801448899 | David Terpea | Licensed Practical Nurse | 6920 Se Division St, Portland, OR 97206-1271 | 2019-07-10 |
| 1528521549 | Karen Lee Ferrette | Licensed Practical Nurse | 10690 Ne Cornell Rd Ste 215, Hillsboro, OR 97124-9224 | 2019-04-08 |
| 1245715366 | Richina M.k. Davis | Licensed Practical Nurse | 59110 E Highway 224, Estacada, OR 97023-9305 | 2018-09-25 |
| 1831670645 | Andrea Ruth Lowry | Licensed Practical Nurse | 52896 Mckenzie Hwy, Blue River, OR 97413-9701 | 2018-08-29 |
| 1629565981 | Kufa Dekamo | Licensed Practical Nurse | 3708 Se 144th Ave, Portland, OR 97236-2731 | 2018-04-21 |
| 1366940702 | Amelie Jane Noel | Licensed Practical Nurse | 4235 Wheat Ct Ne, Salem, OR 97305-2388 | 2018-01-31 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1811415029 | Nicole Keck | Licensed Practical Nurse | 4120 Scenic Dr, Eugene, OR 97404-1253 | 2017-09-07 |
| 1548788946 | Abigail Eller | Licensed Practical Nurse | 88321 Thienes Ln, Springfield, OR 97478-9621 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
| City | WARM SPRINGS |
| Zip Code | 97761 |
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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.