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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500699961 | 05 | |
WA | CRIME VICTIMS | 8906041 | 01 |
WA | 9645276 | 05 |
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 |
Street Address |
1010 SW COAST HWY STE 203 |
City | NEWPORT |
State | OR |
Zip Code | 97365-5215 |
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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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 Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
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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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.