ISIS KARENSHA LOPEZ (NPI# 1922424985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922424985 |
| Entity Type | Individual |
| Full Name | ISIS KARENSHA LOPEZ |
| Practice Address |
1223 Ne Baragar Ave Roseburg OR 97471-5621 |
| Mailing Address |
1223 Ne Baragar Ave Roseburg OR 97470 |
| Practice Telephone | 5412365997 |
| Practice Fax Number | 5412365291 |
| Mailing Telephone | 5412365997 |
| Mailing Fax Number | 5412365291 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 17016 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637929 | Isis Lopez | Behavior Technician | 2080 N Tustin Ave, Santa Ana, CA 92705-7875 | 2019-09-10 |
| 1285166009 | Isis Vanessa Lopez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2017-03-30 |
| 1124381546 | Isis Osuli Lopez | Social Worker | 54 E 5th St, Hialeah, FL 33010-4842 | 2012-06-20 |
| 1508025453 | Isis Berenice Lopez | Rehabilitation Practitioner | 2931 Redondo Ave, Suite 300, Long Beach, CA 90806-2445 | 2008-06-05 |
| Street Address |
1223 NE BARAGAR AVE |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609117258 | Richard Fredrick Kronner | Specialist | 1443 Upper Cleveland Rapids Rd, Roseburg, OR 97471-9672 | 2013-03-06 |
| 1841439312 | Jay N. Gade M.d., Phd., PC | Specialist | 2440 Nw Edenbower Blvd., Roseburg, OR 97471-6220 | 2009-02-06 |
| 1518171339 | Internal Medicine & Geriatrics, P.C. | Specialist | 3369 Ne Stephens St., Ste. 100, Roseburg, OR 97470 | 2007-05-10 |
| 1073685061 | Heartland Cardiac and Vascular | Specialist | 1051 W Fromdahl Dr, Roseburg, OR 97470-2714 | 2006-11-14 |
| 1841298429 | John D Sproed I | Specialist | 868 Nw Garden Valley Blvd, Roseburg, OR 97470-1959 | 2005-07-08 |
| 1003813015 | Neil Kumar | Specialist | 2510 Nw Edenbower Blvd, Suite # 176, Roseburg, OR 97471-8899 | 2005-07-05 |
| 1790176949 | Weese Dermatology PC | Specialist | 2440 Nw Edenbower Blvd, Roseburg, OR 97471-8847 | 2015-02-10 |
| 1033364211 | Joe Maxey | Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2008-12-01 |
| 1992925507 | Agatha Song | Specialist | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2007-04-26 |
| 1508987314 | Brian Eugene Hayes | Specialist | 1813 W Harvard Ave, Suite 100, Roseburg, OR 97470-2752 | 2007-04-02 |
| Find all providers in ROSEBURG | ||||
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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.