STAYSHA HACKMANN (NPI# 1851722144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851722144 |
| Entity Type | Individual |
| Full Name | STAYSHA HACKMANN |
| Practice Address |
1920 Sw Kurtz Ln Grants Pass OR 97526-2803 |
| Mailing Address |
715 Sw Ramsey Ave Grants Pass OR 97527-5500 |
| Practice Telephone | 5412953072 |
| Mailing Telephone | 5417780142 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1920 SW KURTZ LN |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427324755 | Jessica Alyse Johnsen | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2012-03-30 |
| 1922619105 | Scott Cameron | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2020-08-12 |
| 1639792146 | Alexeev Jones | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2020-05-19 |
| 1326606278 | Elise Napier | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2019-06-04 |
| 1093378614 | Monesia Keenan-kern | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2019-04-18 |
| 1801367958 | Cynthia Batchelor | Peer Specialist | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2018-12-16 |
| 1104312354 | Quentin Thomas Guaderrama | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2018-07-10 |
| 1164918314 | Domenica Stabile-zwart | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2018-07-10 |
| 1285130492 | Jarita Irvin | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2018-04-05 |
| 1366941528 | Shelly Ann Guthrie | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2018-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708559 | Laurie Sue Urbach | Counselor | 501 Sw Western Ave, Grants Pass, OR 97526-5811 | 2020-10-23 |
| 1750988713 | Priscilla Ann Stack | Counselor | 214 Nw 3rd St, Grants Pass, OR 97526-1913 | 2020-10-02 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1063996072 | Daniel Dirk | Counselor | 777 Ne 7th St Ste 107, Grants Pass, OR 97526-1632 | 2018-09-17 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| 1336557388 | Sonia Leamons | Counselor | 1331 Se Herrick Ln, Grants Pass, OR 97526-4015 | 2014-07-22 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1972920668 | Tressi Innana Albee | Counselor | 121 Ne A Street, Suite D, Grants Pass, OR 97526 | 2014-03-20 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on STAYSHA HACKMANN.
| 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.