HEATHER FUDGE (NPI# 1841560638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841560638 |
| Entity Type | Individual |
| Full Name | HEATHER FUDGE |
| Practice Address |
2650 Suzanne Way Eugene OR 97408-7319 |
| Mailing Address |
1258 High St Eugene OR 97401-3238 |
| Practice Telephone | 5412422820 |
| Mailing Telephone | 5413438437 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1258 High St, Eugene, OR 974013238 | 5413438437 | |
| 2650 Suzanne Way, Eugene, OR 974087319 | 5412422820 |
| Street Address |
2650 SUZANNE WAY |
| City | EUGENE |
| State | OR |
| Zip Code | 97408-7319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157377 | Gerald Alan Harper | Dentist | 2650 Suzanne Way, Suite 110, Eugene, OR 97408-7319 | 2005-07-13 |
| 1003340951 | Denise R. Gaudette | Counselor | 2650 Suzanne Way, Eugene, OR 97408-7319 | 2017-04-18 |
| 1154862274 | Laurie Morris | Counselor | 2650 Suzanne Way, Suite 120, Eugene, OR 97408-7319 | 2017-03-09 |
| 1689113839 | Jodi Depaoli | Counselor | 2650 Suzanne Way, Eugene, OR 97408-7319 | 2017-02-21 |
| 1740723485 | Jeanee Reed | Registered Nurse | 2650 Suzanne Way, Suite 200, Eugene, OR 97408-7319 | 2016-11-29 |
| 1265982326 | Stephanie Romo | Nurse Practitioner | 2650 Suzanne Way, 200e, Eugene, OR 97408-7319 | 2016-10-12 |
| 1366997355 | Natalia Hayes | Nurse Practitioner | 2650 Suzanne Way, Eugene, OR 97408-7319 | 2016-08-18 |
| 1245619840 | Cassandra Finch | Physician Assistant | 2650 Suzanne Way, Suite 200, Eugene, OR 97408-7319 | 2015-05-28 |
| 1831586460 | Cascade Me | Physician Assistant | 2650 Suzanne Way, Suite 200, Eugene, OR 97408-7319 | 2015-04-21 |
| 1952730384 | Denise Abbott | Dietitian, Registered | 2650 Suzanne Way, Ste 200, Eugene, OR 97408-7319 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
| 1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
| 1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
| 1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
| Find all providers in zip 97408 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467333 | Paula J. Bloom | Counselor | 66 Club Rd Ste No350, Eugene, OR 97401-2420 | 2020-11-06 |
| 1902406903 | Karen Elizabeth Sanchez Dean | Counselor | 1957 Lemming Ave, Eugene, OR 97401-7231 | 2020-10-28 |
| 1356941629 | Alexandra Suzanne Parker | Counselor | 1600 Valley River Dr Ste 100, Eugene, OR 97401-2141 | 2020-10-27 |
| 1417554247 | Counseling Practitioners LLC | Counselor | 1342 High St, Eugene, OR 97401-3237 | 2020-10-05 |
| 1881203404 | Caitlin Joyce, Lcsw LLC | Counselor | 1860 Willamette St Ste 200, Eugene, OR 97401-4044 | 2020-07-29 |
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1326600453 | Don Sellers Lcsw LLC | Counselor | 1390 Oak St Ste 1, Eugene, OR 97401-3567 | 2019-06-28 |
| 1235796855 | L. Kay Mcdonald | Counselor | 1776 Millrace Dr Ste 200, Eugene, OR 97403-2536 | 2019-05-20 |
| 1093371130 | Rites of The Heart, LLC | Counselor | 1840 Willamette St, Eugene, OR 97401-4601 | 2019-05-14 |
| Find all providers in EUGENE | ||||
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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.