BETHANY WACKER (NPI# 1871043794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871043794 |
| Entity Type | Individual |
| Full Name | BETHANY WACKER |
| Credential | RRT |
| Practice Address |
2000 Brookhurst St Apt 13 Medford OR 97504-5446 |
| Practice Telephone | 5412208135 |
| Mailing Telephone | 5412208135 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227900000X | Respiratory Therapist, Registered | RTP047707 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2000 BROOKHURST ST APT 13 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 227900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Registered |
| A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528297843 | Advanced Respiratory Diagnostic | Respiratory Therapist, Registered | 724 S Central Ave, Suite 114, Medford, OR 97501-7851 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326698143 | Crystal Ann Miller | Respiratory Therapist, Registered | 77 Sw Riverview Pl, Gresham, OR 97080-6773 | 2019-09-13 |
| 1750896809 | Keith Alan Knittle | Respiratory Therapist, Registered | 3710 Sw Us Veterans Hospital Rd Ste P3pulm, Portland, OR 97239-2964 | 2017-12-12 |
| 1174050496 | Carl Eckrode | Respiratory Therapist, Registered | 5833 Se Lloyd St, Milwaukie, OR 97222-2779 | 2017-05-17 |
| 1821457359 | Robert Lewis Gulley | Respiratory Therapist, Registered | 1405 Filbert St, Lebanon, OR 97355-4018 | 2016-02-11 |
| 1205215332 | Mehrdad Gerami | Respiratory Therapist, Registered | 1957 Thompson Rd Ste G, Coos Bay, OR 97420-2040 | 2015-05-21 |
| 1881942464 | Stephanie L Snell | Respiratory Therapist, Registered | 301 Ne 70th Ave, Portland, OR 97213 | 2012-08-29 |
| 1972830321 | Laura E Penkava | Respiratory Therapist, Registered | 1135 Dale St Se, Suite C, Albany, OR 97322-5392 | 2009-11-05 |
| 1063650760 | Randy E Romero | Respiratory Therapist, Registered | 511 Honeycutt Dr, Grants Pass, OR 97526-9114 | 2009-02-03 |
| 1902056112 | Martin Wesley Almandinger Jr. | Respiratory Therapist, Registered | 10090 Se Sunnyside Rd, Clackamas, OR 97015-9764 | 2008-09-24 |
| 1881883239 | Stewart Alexander Hamilton | Respiratory Therapist, Registered | 24828 Hwy 38 Spc 1, Elkton, OR 97436-9500 | 2007-10-22 |
| 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.