ROBERT PAUL SHANKS (NPI# 1861029159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861029159 |
| Entity Type | Individual |
| Full Name | ROBERT PAUL SHANKS |
| Credential | FNP |
| Practice Address |
900 Sunset Dr La Grande OR 97850-1387 |
| Practice Telephone | 5419638421 |
| Practice Fax Number | 5419631488 |
| Mailing Telephone | 5419638421 |
| Mailing Fax Number | 5419631488 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
202000267NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
900 SUNSET DR |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-1387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101696 | Geraldine Gardner | Internal Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2005-08-19 |
| 1194325357 | Jacob K. Mcginnis | Student in an Organized Health Care Education/Training Program | 900 Sunset Dr, La Grande, OR 97850-1387 | 2020-10-27 |
| 1598228363 | Hannah Grace Robinson | Dietitian, Registered | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-09 |
| 1225590011 | Emily Whitesides | Physical Therapist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-02 |
| 1629530431 | Marci Brianne Clarke | Occupational Therapist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-01 |
| 1154885689 | Korreene Ann Dubray | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-01-29 |
| 1467974618 | Jared Johnathan Hulme | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-07-10 |
| 1891223848 | Roxanna Stephens | Registered Nurse | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
| 1376071357 | David Burt Ingram | Emergency Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
| 1942735097 | Hannah Hatley | Pharmacist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679041115 | Kendra Kathryn Mundstock | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # 13k, Portland, OR 97239-3011 | 2018-11-02 |
| 1659801785 | Christine Haboush | Nurse Practitioner | 6015 Ne Skidmore St, Portland, OR 97218-2225 | 2017-06-12 |
| 1811366164 | James Reynolds | Nurse Practitioner | 415 Lanthorn Ln, Gearhart, OR 97138-7058 | 2015-09-16 |
| 1386042315 | Jessica Mayer | Nurse Practitioner | 122 Se 80th Ave, Portland, OR 97215-1522 | 2014-12-08 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1992044580 | Meghan Hisatomi Saito | Nurse Practitioner | 19910 Bluegrass Cir, West Linn, OR 97068-2338 | 2013-02-03 |
| 1417284175 | Derek Neil Bowers | Nurse Practitioner | 2836 Ne Bryce St, Portland, OR 97212-1640 | 2009-11-17 |
| 1982820692 | Hilary Anne Shreves | Nurse Practitioner | 3303 Sw Bond Ave Ste 10, Portland, OR 97239-4501 | 2007-04-18 |
| 1821162728 | Deborah Jean Reynolds | Nurse Practitioner | 31313 Fairview Road #1450, Rainier, OR 97048 | 2006-11-20 |
| 1093713505 | Valerie Baldwin-thomas | Nurse Practitioner | 195 W 12th Ave, Eugene, OR 97401-3408 | 2005-07-08 |
| Find all providers with the same taxonomy | ||||
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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.