SUSAN AMIDON (NPI# 1831606383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831606383 |
| Entity Type | Individual |
| Full Name | SUSAN AMIDON |
| Credential | RN, CDE |
| Practice Address |
555 Black Oak Dr Ste 310 Medford OR 97504-8491 |
| Mailing Address |
2620 E Barnett Rd Ste H Medford OR 97504-8383 |
| Practice Telephone | 5417894658 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 091000133 | OR | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
20610437 | OR | Nursing Service Providers |
| Street Address |
555 BLACK OAK DR STE 310 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306401179 | Amber Nichole Spivey | Dietitian, Registered | 555 Black Oak Dr Ste 310, Medford, OR 97504-8491 | 2019-05-07 |
| 1417424987 | Tina Davros Jones | Dietitian, Registered | 555 Black Oak Dr Ste 310, Medford, OR 97504-8491 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1013514173 | Victoria R Luongo | Registered Nurse | 31 Horne Ave, Medford, MA 02155-1351 | 2020-10-02 |
| 1952919250 | Meredith Schofield | Registered Nurse | 32 Dover St, Medford, MA 02155-2321 | 2020-07-22 |
| 1528681103 | Jessica S Damiano | Registered Nurse | 294 High St, Medford, MA 02155-3758 | 2020-05-18 |
| 1518587625 | Rachel Lynn Lawrence | Registered Nurse | N4661 Moraine Ln, Medford, WI 54451-8416 | 2020-04-18 |
| 1285260638 | Caitlyn Larvey | Registered Nurse | 69 Windsor Rd, Medford, MA 02155-5927 | 2020-03-18 |
| 1184259343 | Jennifer Ruane | Registered Nurse | 3 Regis Rd, Medford, MA 02155-1931 | 2020-03-09 |
| 1740815448 | Anna Elizabeth Sheehan | Registered Nurse | 32 Brainard Ave Apt 204, Medford, MA 02155-5105 | 2020-03-03 |
| 1851924963 | Janine French | Registered Nurse | 73 Elmhurst Ave, Medford, NY 11763-3610 | 2020-02-17 |
| 1942846670 | Bonni Ellen Haith | Registered Nurse | 153 George St, Medford, MA 02155-5439 | 2019-11-18 |
| 1629619523 | Jennifer Deoliveira-souza | Registered Nurse | 310 Malden St, Medford, MA 02155-2819 | 2019-10-01 |
| Find all providers in MEDFORD | ||||
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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.