KELSIE FLYNN BOSTWICK (NPI# 1851769160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851769160 |
| Entity Type | Individual |
| Full Name | KELSIE FLYNN BOSTWICK |
| Other Name | KELSIE WALKER FLYNN |
| Credential | PHARMD |
| Practice Address |
2600 Ne Neff Rd Bend OR 97701-6337 |
| Practice Telephone | 5417062608 |
| Practice Fax Number | 5417064806 |
| Mailing Telephone | 5417062608 |
| Mailing Fax Number | 5417064806 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0014911 | OR | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1310 24th Ave S, Nashville, TN 372122637 | 6153274751 |
| Street Address |
2600 NE NEFF RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922084151 | Walter Lovell Bogart IIi | Ophthalmology | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2005-12-20 |
| 1437614997 | Marrett Hild | Physician Assistant | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2019-02-08 |
| 1992184212 | Joslyn Gibson | Physician Assistant | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2015-05-19 |
| 1912269168 | Kathleen Ann Wachtler | Family Medicine | 2600 Ne Neff Rd, Bend, OR 97701 | 2012-06-13 |
| 1730447350 | Sarah E Serrano | Internal Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2012-05-02 |
| 1366723611 | Karen E Siegel | Nurse Practitioner | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2011-08-31 |
| 1457645533 | Sarah Elizabeth Dawson | Internal Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2011-06-06 |
| 1144524273 | St. Charles Health System, Inc. | Family Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2011-01-04 |
| 1811200066 | Allison Ann Jones | Registered Nurse | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2010-07-16 |
| 1366765927 | Cascade Healthcare Community | Durable Medical Equipment & Medical Supplies | 2600 Ne Neff Rd, Suite 5, Bend, OR 97701-6337 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902164296 | Robin H Fuerst | Pharmacist | 62653 Hawkview Rd, Bend, OR 97701-9597 | 2012-04-24 |
| 1043783269 | Cody Weidenhaft | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-01-10 |
| 1811430135 | Alex T. Winn | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2016-11-18 |
| 1942653951 | Sally Michelle Booster | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2016-07-14 |
| 1639532880 | Robert Mote | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2016-04-04 |
| 1225388473 | Nathan James Bryant | Pharmacist | 351 Ne 2nd St, Bend, OR 97701-5175 | 2012-09-14 |
| 1407095557 | Kyle A. Mills | Pharmacist | 2965 Ne Conners Ave, Suite 280, Bend, OR 97701-7753 | 2009-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
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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.