JAMEY L BURRIS-FISH


Address: 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215
Phone: 5412654947

JAMEY L BURRIS-FISH (NPI# 1861488868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861488868
Entity Type Individual
Full Name JAMEY L BURRIS-FISH
Credential NP-PP PSYCHIATRIC/MH
Practice Address 1010 Sw Coast Hwy Ste 203
Newport
OR 97365-5215
Mailing Address 36 Sw Nye St
Newport
OR 97365-3821
Practice Telephone 5412654947
Practice Fax Number 5415747670
Mailing Telephone 5412654947
Mailing Fax Number 5412654194
Enumeration Date 2005-09-25
Last Update Date 2020-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN00159464 WA Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
200750042NP OR Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
200750042NP OR Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP30007010 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
200750042NP OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500699961 05
WA CRIME VICTIMS 8906041 01
WA 9645276 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4422 Ne Devils Lake Blvd Ste 2, Lincoln City, OR 973675000 5412654947 5419940261
51 Sw Lee St, Newport, OR 973653823 5415745960 5412650601

Office Location

Street Address 1010 SW COAST HWY STE 203
City NEWPORT
State OR
Zip Code 97365-5215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760082994 Barbara Ann Townsend Registered Nurse 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215 2020-10-27
1922632637 Ellen Frances Wenzel Counselor 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215 2020-03-03
1538707666 Ashley J Smith Registered Nurse 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215 2019-12-19
1265094817 Ashlee Ann Thompson Registered Nurse 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215 2019-07-03
1144780255 Jason Vang-erickson Nurse Practitioner 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215 2019-03-23
1205396058 Nancy Ruth Blanchard Registered Nurse 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215 2019-03-20
1649792557 Bethany Michelle Marks Registered Nurse 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215 2017-07-12
1760859995 Connie Buck Nurse Practitioner 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215 2015-08-24
1700217064 Leslie C Abbott Nurse Practitioner 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215 2013-12-11
1750669081 Sara May Harvison Nurse Practitioner 1010 Sw Coast Hwy Ste 203, Newport, OR 97365-5215 2011-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063036101 Integrity Women's Health & Wellness, LLC Obstetrics & Gynecology 594 Se Running Springs, Newport, OR 97365 2020-06-04
1538799333 Big Creek Medical Supplies Inc Durable Medical Equipment & Medical Supplies 1664 N Coast Hwy, Newport, OR 97365 2020-01-21
1710527999 Costal Support Services Case Management 125 Se Mast Ave #55, Lincoln City, OR 97365 2020-01-15
1821650169 Darren Lee Taylor Peer Specialist 35 North Cottage Street, Newport, OR 97365 2019-07-08
1518405091 The City of Newport 60 Plus Activity Center Clinic/Center 20 Se 2nd St, Newport, OR 97365 2017-02-06
1982020384 Kristine Elizabeth Foley Dental Hygienist 123 Se Douglas Street, Family Dental, Newport, OR 97365 2014-03-10
1245655075 Catherine Marie Vickers Registered Nurse 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 2014-03-04
1114295342 Donna Cressy Physical Therapist 140 Nw 4th Street, Newport, OR 97365 2011-12-02
1063647949 Wrazen & Rash PC, Physicians Pediatrics 775 Sw 9th Street, Annex A, Newport, OR 97365 2009-05-21
1194950048 Stephen Macbain Burns, Md, PC Pediatrics 775 Sw 9th Street, Annex A, Newport, OR 97365 2009-05-21
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1801343942 Gwendolyn K La Croix Nurse Practitioner 7521 N Telegraph Rd Ste 1, Newport, MI 48166-9398 2016-09-07
1992823728 Reatha L Ryan Nurse Practitioner 615 Sw Hurbert St, Suite C, Newport, OR 97365-4981 2007-03-27
1881245058 Arletha Nicole Kincaid Nurse Practitioner 11 Friendship St, Newport, RI 02840-2209 2019-09-27
1952825267 Christopher Brent Delph Nurse Practitioner 990 W Highway 25 70, Newport, TN 37821 2017-07-28
1538595525 Renata Figueiredo Sasson Nurse Practitioner 11 Friendship St, Newport, RI 02840-2209 2013-09-23
1396090809 Tami Beth Lamb Nurse Practitioner 51 Sw Lee St, Newport, OR 97365-3823 2012-07-20
1275840712 Sally Kathryn Mathieson Nurse Practitioner 637 Union Street, Dr. Leslie Lockridge, Newport, VT 05855-0838 2010-09-03
1124241054 Della Fogerson Nurse Practitioner 36 Sw Nye St, Newport, OR 97365-3821 2007-04-10

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1154920148 Hardcore Happy LLC Nurse Practitioner 740 Ne 116th Ct, Portland, OR 97220-2223 2020-10-20
1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1629687892 Robin Sue Finney Nurse Practitioner 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 2020-07-23
1518584457 Akhena Health & Wellness LLC Nurse Practitioner 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 2020-06-26
1447871678 Monarch Mental Health LLC Nurse Practitioner 1927 Channel St, North Bend, OR 97459-1826 2020-04-28
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1366071607 Med Rx Partners, P.C. Nurse Practitioner 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 2020-04-08
1417583170 Brittany Joy Monson Nurse Practitioner 12115 Sw 70th Ave, Tigard, OR 97223-9647 2020-03-13
1073147716 Paradigm Mental Health and Wellness LLC Nurse Practitioner 724 S Central Ave Ste 101d, Medford, OR 97501-7808 2020-03-02
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
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Competitor

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City NEWPORT
Zip Code 97365

Improve Information

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Dataset Information

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.

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