MRS. KATHRYN RUTH DESANTIS (NPI# 1891796496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891796496 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN RUTH DESANTIS |
| Credential | APRN, FNP-BC |
| Practice Address |
1378 Sw David Dr Grants Pass OR 97527-6429 |
| Practice Telephone | 8012721246 |
| Mailing Telephone | 8012721246 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
201603205NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0349373 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
02758228900 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
02758224405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1378 SW DAVID DR |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-6429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619286879 | Utah Weight Loss & Natural Hormone Clinic | Clinic/Center | 1378 Sw David Dr, Grants Pass, OR 97527-6429 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101527 | Angela Lynn Potter | Nurse Practitioner | 1536 Rj Dr, Grants Pass, OR 97526-3680 | 2018-10-24 |
| 1184000549 | Southern Oregon Medical Practice LLC | Nurse Practitioner | 824 Unit B, Rogue River Highway, Grants Pass, OR 97527-0000 | 2015-08-07 |
| 1215290101 | Livia Leora Klein | Nurse Practitioner | 1734 Sw Waterstone Dr, Grants Pass, OR 97527-6437 | 2012-06-17 |
| 1295966083 | Medical House Calls By Dan Hughes-fnp LLC | Nurse Practitioner | 1505 Nw Prospect Ave, Grants Pass, OR 97526-1007 | 2009-07-28 |
| 1053483057 | Raymond A Millette | Nurse Practitioner | 1014 Ne 7th St, Grants Pass, OR 97526-1420 | 2006-11-14 |
| 1699864736 | Karen Joyce Hoskins | Nurse Practitioner | 1100 Ne 7th St Ste C, Grants Pass, OR 97526-1415 | 2006-10-12 |
| 1376630673 | Kathleen Anne Johnson | Nurse Practitioner | 1692 Williams Hwy, Grants Pass, OR 97527-1805 | 2006-10-06 |
| 1356355846 | Mason Clarke Harrison | Nurse Practitioner | 1833 Nebraska Ave, Grants Pass, OR 97527-5701 | 2006-07-28 |
| 1316560865 | Rachel Jessica Vanderwall | Nurse Practitioner | 741 Ne 6th St, Grants Pass, OR 97526-1556 | 2020-05-19 |
| 1083257109 | Doreen Gordon | Nurse Practitioner | 1585 Nw Washington Blvd, Grants Pass, OR 97526-1049 | 2019-10-21 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
Please comment or provide details below to improve the information on MRS. KATHRYN RUTH DESANTIS.
| 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.