NANCY OBISPO (NPI# 1871983353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871983353 |
| Entity Type | Individual |
| Full Name | NANCY OBISPO |
| Credential | NP |
| Practice Address |
555 Black Oak Drive Suite 300 Medford OR 97504-8491 |
| Mailing Address |
2620 East Barnett Rd Suite H Medford OR 97504-8383 |
| Practice Telephone | 5417898100 |
| Mailing Telephone | 5417894281 |
| Mailing Fax Number | 5417895538 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2016-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209012255 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
201602021NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209012255 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
555 BLACK OAK DRIVE SUITE 300 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144250432 | Melodee Kay Badley | Nurse Practitioner | 555 Black Oak Drive, Suite 300, Medford, OR 97504-8491 | 2006-07-03 |
| 1346603479 | App Pulmonary Group | Internal Medicine | 555 Black Oak Drive, Suite 300, Medford, OR 97504-8491 | 2016-04-05 |
| 1114218120 | William Brendon Haynal | Psychiatry & Neurology | 555 Black Oak Drive, Suite 300 B, Medford, OR 97504 | 2011-04-25 |
| 1477857498 | Berta P Baldovino Navarro | Internal Medicine | 555 Black Oak Drive, Suite 300a, Medford, OR 97504 | 2011-01-05 |
| 1952616369 | Sivajothi Kanagalingam | Internal Medicine | 555 Black Oak Drive, Suite 300 A, Medford, OR 97504 | 2010-08-10 |
| 1902123888 | Jennifer Henderson | Family Medicine | 555 Black Oak Drive, Suite 300 B, Medford, OR 97504 | 2010-04-30 |
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417581315 | Well Spring Health LLC | Nurse Practitioner | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2020-02-28 |
| 1861926586 | Dashia Hewitt | Nurse Practitioner | 825 Bennett Ave, Medford, OR 97504-6715 | 2017-04-19 |
| 1396143624 | Laurie Young | Nurse Practitioner | 170 Governors Ave, Medford, MA 02155-1643 | 2014-12-19 |
| 1811393648 | Cynthia Wallace | Nurse Practitioner | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2014-11-05 |
| 1427181767 | Landa Rhoda Cox | Nurse Practitioner | 1200 Mira Mar Ave, Medford, OR 97504-8546 | 2007-03-14 |
| 1376521369 | Stacey Bryant | Nurse Practitioner | 170 Governors Ave, Hallmark Health System, Inc., Medford, MA 02155-1643 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558383430 | Nancy A Erb | Nurse Practitioner | 16209 W Hoffeldt Ln, Suite B, Brookings, OR 97415-9470 | 2006-07-23 |
| 1124058789 | Elizabeth Vonwellsheim | Nurse Practitioner | 382b South 58th Street, Springfield, OR 97478 | 2006-07-03 |
| 1568419091 | Carolyn Dolores Concia | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2006-05-30 |
| 1821647173 | Haley Grace Ruljancich | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2019-09-10 |
| 1043862550 | Katherine Felicia Edstrom | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-07-15 |
| 1487216669 | Carolyn D Concia Np Prof Corp | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2019-07-08 |
| 1811550866 | Elisa Denise Garrett | Nurse Practitioner | 675 N 5th St, Lebanon, OR 97355-2875 | 2019-04-16 |
| 1255800850 | Peter Woodring | Nurse Practitioner | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2018-11-13 |
| 1154809903 | Molly Christine Davis | Nurse Practitioner | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2018-08-03 |
| 1851841357 | Marquis Companies I, Inc. | Nurse Practitioner | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 | 2016-10-07 |
| 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.