NICOLE KEPNER (NPI# 1932609245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932609245 |
| Entity Type | Individual |
| Full Name | NICOLE KEPNER |
| Credential | PHARMD |
| Practice Address |
1800 Centennial Blvd Springfield OR 97477 |
| Mailing Address |
1600 Valley River Dr Ste 210 Eugene OR 97401-2155 |
| Practice Telephone | 5417474300 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 00117124 | OR | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 03237138 | OH | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
00117124 | OR | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Valley River Dr Ste 210, Eugene, OR 974012155 | 4582102308 | |
| 3929 Rocky River Dr, Cleveland, OH 441114153 | 2169389435 |
| Street Address |
1800 CENTENNIAL BLVD |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710969480 | Charles Duane Radebaugh | Optometrist | 1800 Centennial Blvd, Suite 2, Springfield, OR 97477-4385 | 2005-11-17 |
| 1114396199 | Springfield Family Physicians | Family Medicine | 1800 Centennial Blvd, Springfield, OR 97477-4385 | 2015-09-18 |
| 1265847271 | Julie Kay Mott | Counselor | 1800 Centennial Blvd, Springfield, OR 97477 | 2014-06-27 |
| 1801174305 | Jenae Ulrich | Psychologist | 1800 Centennial Blvd, Springfield, OR 97477-4385 | 2011-08-01 |
| 1508190661 | Ppc Group LLC | Clinic/Center | 1800 Centennial Blvd, Suite #6, Springfield, OR 97477-4385 | 2009-09-22 |
| 1760434385 | Alison Joan Erde | Family Medicine | 1800 Centennial Blvd, 6, Springfield, OR 97477-4385 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336695865 | Michael Short | Pharmacist | Memorial Medical Center Heart Failure Cinic, 340 West Miller, Springfield, IL 62781-0001 | 2016-08-25 |
| 1104273507 | Blessing Ekemezie | Pharmacist | 7814 Attleboro Dr, Springfield, VA 22153-2713 | 2016-05-16 |
| 1871106914 | Viet Quoc Nguyen | Pharmacist | 2280 Marcola Rd, Springfield, OR 97477-2594 | 2020-08-28 |
| 1962021733 | Brian Grace | Pharmacist | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-04-13 |
| 1922652627 | Andrea Elena Prince | Pharmacist | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-07-31 |
| 1316461254 | Ashley Evans | Pharmacist | 3231 S National Ave Ste 300, Springfield, MO 65807-7304 | 2017-08-02 |
| 1619491818 | Brandon James Biggs | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-4908 | 2017-07-29 |
| 1194252353 | Pauline Vuong | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2017-05-18 |
| 1942747886 | Natalia Ema Puccinelli | Pharmacist | 2073 Olympic St, Springfield, OR 97477-3413 | 2017-01-31 |
| 1437502861 | Kong Kit Wong | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2016-07-20 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on NICOLE KEPNER.
| 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.