DEANNA DYKEMA (NPI# 1932470366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932470366 |
| Entity Type | Individual |
| Full Name | DEANNA DYKEMA |
| Credential | NNP-BC |
| Practice Address |
707 Sw Gaines St Cdrcp Portland OR 97239-2901 |
| Practice Telephone | 5034494265 |
| Mailing Telephone | 5034494265 |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2016-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
201507750NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
183854 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
707 SW GAINES ST CDRCP |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613960 | Laurie Armsby | Pediatrics | 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 | 2005-10-14 |
| 1851904759 | Debra Crawford | Physical Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-08-28 |
| 1437761574 | Lauren Nicole Beckett | Speech-Language Pathologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-08-19 |
| 1720699739 | Rachel Kirsten Greene | Psychologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-08-13 |
| 1356970008 | Emily Knell Spaeth | Physical Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-04-05 |
| 1720617798 | Paula Tran | Occupational Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-04-02 |
| 1760038111 | Natalie Alexandra Galvan | Speech-Language Pathologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2019-08-12 |
| 1932752466 | Janvi S. Patel | Occupational Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2019-07-23 |
| 1033761119 | Danielle Moyer | Psychologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2019-07-10 |
| 1790268779 | Lily Gullion | Occupational Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467065565 | Mandi Ann Horwath | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2020-08-28 |
| 1023675022 | Megan Rochelle Tinling | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-05-24 |
| 1407277700 | Ashley Yvette Forester | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2014-01-04 |
| 1568892941 | Amy R. Snyder | Nurse Practitioner | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2013-11-20 |
| 1104177989 | Marissa Christine Macedo | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-09-20 |
| 1821397563 | Sherry Colleen Johnson | Nurse Practitioner | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2011-03-21 |
| 1992935548 | Ann M Nye | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Dncc, Portland, OR 97239-3011 | 2009-07-16 |
| 1245474931 | Christopher Wayne Woods | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2009-04-24 |
| 1861602013 | Laura L. Aurisy | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Department of Pediatrics.neonatology, Portland, OR 97239-3011 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686504 | Amanda L Swinehart | Nurse Practitioner | 5299 Lakeview Blvd, Lake Oswego, OR 97035-5464 | 2015-08-19 |
| 1093836934 | Dawn Mary Allen | Nurse Practitioner | 17079 Cherry Crest Ave, Lake Oswego, OR 97034-5946 | 2007-04-02 |
| 1972816593 | Kacy Lee Bradshaw | Nurse Practitioner | 939 Oak St Se, Salem, OR 97301-3901 | 2010-07-24 |
| 1235397852 | Cindy Davis | Nurse Practitioner | 939 Oak St Se, Salem, OR 97301 | 2008-05-30 |
| 1538228895 | Barbera Herzog-taft | Nurse Practitioner | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2006-12-06 |
| 1578622494 | Tracy K Ritchie | Nurse Practitioner | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2006-12-06 |
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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.