DAPHNE TADLOCK (NPI# 1871988485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871988485 |
| Entity Type | Individual |
| Full Name | DAPHNE TADLOCK |
| Credential | LPN |
| Practice Address |
547 Knapp Pl Ne Salem OR 97301-2443 |
| Practice Telephone | 9712400199 |
| Mailing Telephone | 9712400199 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 097003182LPN | OR | Nursing Service Providers |
| Street Address |
547 KNAPP PL NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962361 | Sheri Adigun | Licensed Practical Nurse | 10 Briar Ave, Salem, NH 03079-2635 | 2018-05-17 |
| 1366940702 | Amelie Jane Noel | Licensed Practical Nurse | 4235 Wheat Ct Ne, Salem, OR 97305-2388 | 2018-01-31 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1295199271 | Margrett Anne Simpkins | Licensed Practical Nurse | 1853 13th St Se, Salem, OR 97302-2577 | 2016-04-06 |
| 1871919696 | Jennifer Marinelli | Licensed Practical Nurse | 11300 Youngstown Salem Rd, Salem, OH 44460-7610 | 2014-03-17 |
| 1174948293 | Terena Umberger | Licensed Practical Nurse | 14405 Pricetown Rd, Salem, OH 44460-9195 | 2014-02-26 |
| 1790108389 | Bonnie Rose Plessinger | Licensed Practical Nurse | 9729 Egypt Rd, Salem, OH 44460-9664 | 2014-02-02 |
| 1881937209 | Heather Lynn Tracy | Licensed Practical Nurse | 1137 Hampton Pl, Salem, OH 44460-1081 | 2013-04-03 |
| 1265781850 | Desirea Lynn Counts | Licensed Practical Nurse | Hc 62 Box 285, Salem, MO 65560-8807 | 2012-08-29 |
| 1447535836 | Christina Leigh Simonis Shafer | Licensed Practical Nurse | 1141 Beechwood Rd, Salem, OH 44460-1021 | 2011-10-17 |
| Find all providers in SALEM | ||||
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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.