MR. DONALD BYRON SHUMATE (NPI# 1871727669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871727669 |
| Entity Type | Individual |
| Full Name | MR. DONALD BYRON SHUMATE |
| Credential | RN |
| Practice Address |
722 Ne 162nd Ave Portland OR 97230-5760 |
| Mailing Address |
718 Se 29th Ave Portland OR 97214-3028 |
| Practice Telephone | 5034085016 |
| Practice Fax Number | 5032555094 |
| Mailing Telephone | 5038106099 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
200940298RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780970236 | Donald Hugh Shumate Jr. | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2011-06-23 |
| 1982696555 | Donald Ray Shumate | Internal Medicine | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2005-08-18 |
| Street Address |
722 NE 162ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235237983 | Catherine N. Knox | Counselor | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2006-09-20 |
| 1548860463 | Michele Renee Coon | Counselor | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-10-29 |
| 1710594551 | Anna Christine Peaslee | Social Worker | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-09-25 |
| 1164040739 | Samantha Bedker | Social Worker | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-07-10 |
| 1417572033 | Veronica Shiu Knight | Social Worker | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-06-09 |
| 1215550850 | Nathalie Wuebkes | Technician | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-05-18 |
| 1104446509 | Erin Marie Mcdermott | Behavior Technician | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-04-26 |
| 1174150536 | Jessica Schnur | Marriage & Family Therapist | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-03-25 |
| 1710529714 | Dickovita Kankanamge Nirmani Tilakasena | Counselor | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2019-10-10 |
| 1568003978 | Sarah Lehman | Technician | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895173 | Jessica L Newgard | Registered Nurse | 9135 Sw Barnes Rd Ste 761, Portland, OR 97225-6777 | 2015-11-12 |
| 1295128650 | Marla Castello | Registered Nurse | 2828 Sw Kelly Ave Ste B, Portland, OR 97201-4809 | 2015-03-10 |
| 1124378526 | Melissa Hess | Registered Nurse | 3415 Se Powell Blvd # 97202, Portland, OR 97202-3371 | 2012-09-12 |
| 1770705527 | Carol B. Mason | Registered Nurse | 722 Ne 162nd Avenue, Portland, OR 97230 | 2007-05-02 |
| 1962581264 | Catherine A Lorello-snow | Registered Nurse | 477 Congress St Ste 408, Portland, ME 04101-3431 | 2006-11-06 |
| 1346325883 | Cynthia Kathleen Rutto | Registered Nurse | 2929 Sw Multnomah Blvd Ste 102, Portland, OR 97219-4070 | 2006-10-25 |
| 1447862198 | Kiana Wood | Registered Nurse | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-08-22 |
| 1134737521 | Tia Nadler | Registered Nurse | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-07-21 |
| 1346727179 | Alyssa Anthea Adriano | Registered Nurse | 722 Ne 162nd Ave, Portland, OR 97230 | 2018-07-24 |
| 1972013860 | Elizabeth King | Registered Nurse | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2017-10-04 |
| Find all providers in PORTLAND | ||||
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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.