ELEANOR FRANCES LUSTIG-BUTTS (NPI# 1902992795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902992795 |
Entity Type | Individual |
Full Name | ELEANOR FRANCES LUSTIG-BUTTS |
Other Name | ELEANOR FRANCES LUSTIG |
Credential | CPNP |
Practice Address |
2310 Mountain View Blvd Klamath Falls OR 97601-1134 |
Practice Telephone | 5418833591 |
Practice Fax Number | 5418832886 |
Mailing Telephone | 5418833591 |
Mailing Fax Number | 5418832886 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
089007521N2 PNP | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 013115 | 05 |
Street Address |
2310 MOUNTAIN VIEW BLVD |
City | KLAMATH FALLS |
State | OR |
Zip Code | 97601-1134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245228980 | Klamath Fa Mily Practice Center PC | Family Medicine | 2310 Mountain View Blvd, Klamath Falls, OR 97601-1134 | 2005-10-06 |
1669553988 | Klamath Pediatric Clinic, PC | Pediatrics | 2310 Mountain View Blvd, Klamath Falls, OR 97601-1134 | 2006-10-17 |
1215022934 | Charles Michael Labuwi | Pediatrics | 2310 Mountain View Blvd, Klamath Falls, OR 97601-1134 | 2006-10-04 |
1871581520 | Roger R Cummins | Physician Assistant | 2310 Mountain View Blvd, Klamath Falls, OR 97601-1134 | 2005-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
Find all providers in zip 97601 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457707390 | Sarah Halstead | Nurse Practitioner | 2421 Washburn Way, Klamath Falls, OR 97603-4525 | 2016-05-10 |
1750420196 | Jennifer Gayle Lovell | Nurse Practitioner | 3001 Daggett Ave, Klamath Falls, OR 97601-1114 | 2007-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477197705 | Kelsey-jo Audrey Moss | Nurse Practitioner | 704b Ne 62nd Ave, Portland, OR 97213-4351 | 2019-10-30 |
1295273399 | Shaudine Woody | Nurse Practitioner | 11790 Sw Barnes Rd Ste 140, Portland, OR 97225-5938 | 2017-02-08 |
1164829578 | Debdeep Nath | Nurse Practitioner | 12225 Sw 2nd St Ste 150, Beaverton, OR 97005 | 2014-12-01 |
1003239120 | Iva Juric | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011 | 2014-01-24 |
1912339896 | Gabrielle Marie Petersen | Nurse Practitioner | 1713 Penn Ln, Oregon City, OR 97045-1528 | 2013-08-02 |
1811249592 | Pollee Hruby Brookings | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw7, Portland, OR 97239-3098 | 2012-10-05 |
1033470646 | Chelsea Doherty | Nurse Practitioner | 14480 Sw 90th Ave, Portland, OR 97224 | 2012-05-31 |
1972814440 | Alicia Marie Mcintire | Nurse Practitioner | 995 Willagillespie Rd # 100, Eugene, OR 97401-2186 | 2010-06-29 |
1255662953 | Elizabeth T Millan | Nurse Practitioner | 2150 Ne Daggett Ln, Bend, OR 97701-6560 | 2010-01-19 |
1083862874 | Catherine M Coffey | Nurse Practitioner | 142 Dearborn St, Union, OR 97883 | 2008-09-04 |
Find all providers with the same taxonomy |
City | KLAMATH FALLS |
Zip Code | 97601 |
Please comment or provide details below to improve the information on ELEANOR FRANCES LUSTIG-BUTTS.
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.