RYAN MATTHEW CONRADY (NPI# 1821604828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821604828 |
| Entity Type | Individual |
| Full Name | RYAN MATTHEW CONRADY |
| Practice Address |
2210 N Eldorado Ave Klamath Falls OR 97601-6418 |
| Practice Telephone | 5418831030 |
| Practice Fax Number | 5418842338 |
| Mailing Telephone | 5418831030 |
| Mailing Fax Number | 5418842338 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
2210 N ELDORADO AVE |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-6418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902830524 | Klamath Child and Family Treatment Center | Voluntary or Charitable | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2006-07-10 |
| 1467051524 | Anthony Victor Anghinetti | Case Manager/Care Coordinator | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-10-20 |
| 1013514827 | Kassie Anderson | Peer Specialist | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-10-05 |
| 1730795733 | Joy June Hobbs | Case Manager/Care Coordinator | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-09-16 |
| 1821603762 | Alejandra Avalos Vasquez | Case Manager/Care Coordinator | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-09-08 |
| 1154935542 | Deanna Kay Garren | Case Manager/Care Coordinator | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-09-02 |
| 1619581006 | Meghan Rae Gorbett | Case Manager/Care Coordinator | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-09-02 |
| 1710595160 | Katrina V Hopf | Peer Specialist | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-07-21 |
| 1104434554 | Laurie Rae Cooper | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-07-21 |
| 1861017360 | Christina Lynn Martinez | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514827 | Kassie Anderson | Peer Specialist | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-10-05 |
| 1710595160 | Katrina V Hopf | Peer Specialist | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-07-21 |
| 1609402015 | Jason William Lee | Peer Specialist | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2020-03-17 |
| 1992330393 | Dean Foster Jones | Peer Specialist | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2020-03-05 |
| 1720639669 | Erin Reeves | Peer Specialist | 2230 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2019-09-23 |
| 1437704111 | David Anthony Gress | Peer Specialist | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2019-08-08 |
| 1235784133 | Dara Lee Heath | Peer Specialist | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2019-08-07 |
| 1225520877 | Spokes Unlimited | Peer Specialist | 1006 Main St, Klamath Falls, OR 97601-5813 | 2018-05-30 |
| 1720584386 | Donovan Jones | Peer Specialist | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2018-04-03 |
| 1841794336 | Kasandra Sue Schroeder | Peer Specialist | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2018-03-20 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.