MEGAN JAYE SORENSEN (NPI# 1912949926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912949926 |
| Entity Type | Individual |
| Full Name | MEGAN JAYE SORENSEN |
| Credential | DNP, CNS |
| Practice Address |
2870 Ne West Devils Lake Rd Lincoln City OR 97367-5127 |
| Mailing Address |
Po Box 1194 Corvallis OR 97339-1194 |
| Practice Telephone | 5419949191 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 201604311CNS-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
R172938-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
201604311CNS-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 622655800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 E 3rd St, Duluth, MN 558051951 | 2187861116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438260 | Megan Sorensen | Physician Assistant | 1950 Arlington St Ste 111, Sarasota, FL 34239-3508 | 2020-02-05 |
| Street Address |
2870 NE WEST DEVILS LAKE RD |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584398 | Benjamin Laliberte | Psychologist | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2018-10-15 |
| 1801316013 | Kristen Deryn Angerstien | Pharmacist | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2017-06-20 |
| 1841554177 | Samaritan North Lincoln Hospital | Internal Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2012-07-02 |
| 1306102561 | Samaritan North Lincoln | Internal Medicine | 2870 Ne West Devils Lake Rd, Suite B, Lincoln City, OR 97367-5127 | 2012-04-02 |
| 1568742658 | Samaritan North Lincoln Hospital | Clinic/Center | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2011-08-22 |
| 1376869941 | Kevin Glen Wherry | Internal Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2010-04-08 |
| 1801063839 | Alexa L La Faunce | Internal Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2008-05-08 |
| 1912074600 | Lincoln City Medical Center, PC | Internal Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-11-29 |
| 1316013626 | Marilyn Jean Fraser | Family Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-11-28 |
| 1679649230 | John Edward Bohlman | Emergency Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1851603971 | Phyllis Marcia Cronin | Clinical Nurse Specialist | 6525 Ne. Mallory Avenue, Portland, OR 97211-2421 | 2010-07-06 |
| 1861590036 | Wendy Hill Park | Clinical Nurse Specialist | 1892 Willamette St, Eugene, OR 97401-4044 | 2006-09-20 |
| 1023566015 | Caitlin Margitan | Clinical Nurse Specialist | 847 Ne 19th Ave Suite 100, Portland, OR 97232-2684 | 2016-09-19 |
| 1316186851 | Mary Catherine King | Clinical Nurse Specialist | 9155 Sw Barnes Rd, Suite 418, Portland, OR 97225-6625 | 2009-02-06 |
| 1134371859 | Sarah Parshley | Clinical Nurse Specialist | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-2941 | 2008-10-13 |
| 1376734392 | 'alice Louise Kamm | Clinical Nurse Specialist | 2133 Ne Broadway, Portland, OR 97232-1878 | 2007-08-06 |
| 1316146624 | James Joseph Devaney | Clinical Nurse Specialist | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2007-07-16 |
| 1467575571 | Harley G Klein | Clinical Nurse Specialist | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2007-04-06 |
| 1215071253 | Nancy Davis Hodges | Clinical Nurse Specialist | 1130 Sw Morrison St, Suite 619, Portland, OR 97205-2234 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
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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.