MS. JACKIE KAY SEGUIN (NPI# 1962554543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962554543 |
| Entity Type | Individual |
| Full Name | MS. JACKIE KAY SEGUIN |
| Credential | FNP |
| Practice Address |
3231 Se 50th Ave Planned Parenthood of The Columbia Willamette Portland OR 97206 |
| Mailing Address |
3725 Ne Multnomah St Portland OR 97232-1916 |
| Practice Telephone | 5037750861 |
| Practice Fax Number | 5037887285 |
| Mailing Telephone | 5032317216 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 000033522N1FNPPP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OMAP | 263475 | 01 |
| PIN | 131475 | 01 |
| Street Address |
3231 SE 50TH AVE PLANNED PARENTHOOD OF THE COLUMBIA WILLAMETTE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316989320 | Barbara Eileen Kane | Nurse Practitioner | 3231 Se 50th Ave, Portland, OR 97206-2248 | 2006-06-12 |
| 1114443439 | Honey Gwenn Robbins | Nurse Practitioner | 3231 Se 50th Ave, Portland, OR 97206 | 2017-08-17 |
| 1245609411 | Planned Parenthood of The Columbia/willamette | Clinic/Center | 3231 Se 50th Ave, Portland, OR 97206-2248 | 2015-09-17 |
| 1346590239 | Lena Crandell | Nurse Practitioner | 3231 Se 50th Ave, Portland, OR 97206-2248 | 2012-09-18 |
| 1841437191 | Lisa A Benitez | Naturopath | 3231 Se 50th Ave, Portland, OR 97206-2248 | 2009-01-08 |
| 1033379839 | Barbara O'malley Floyd | Advanced Practice Midwife | 3231 Se 50th Ave, Portland, OR 97206-2248 | 2008-06-15 |
| 1215197249 | Michelle Prosser | Advanced Practice Midwife | 3231 Se 50th Ave, Portland, OR 97206-2248 | 2008-06-12 |
| 1083885552 | Melanie C Lakaemper | Nurse Practitioner | 3231 Se 50th Ave, Portland, OR 97206-2248 | 2008-03-12 |
| 1437328937 | Patricia Collins | Nurse Practitioner | 3231 Se 50th Ave, Portland, OR 97206-2248 | 2008-02-28 |
| 1225224272 | Nan Bryan Schreitz | Advanced Practice Midwife | 3231 Se 50th Ave, Portland, OR 97206-2248 | 2007-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1174039325 | Gina Nicole Dasilva | Nurse Practitioner | 50 County Way, Portland, ME 04102-2755 | 2017-12-26 |
| 1609396746 | Maggie Michele Sexton | Nurse Practitioner | 2311 Nw Northrup St Ste 100, Portland, OR 97210-2912 | 2017-06-20 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1134585268 | Kathleen Klunk | Nurse Practitioner | 1400 Ne Alberta St, Portland, OR 97211-5044 | 2016-01-05 |
| 1427447143 | At Home Primary Care LLC. | Nurse Practitioner | 6400 Se Lake Rd # 420, Portland, OR 97222-2129 | 2015-01-19 |
| 1053753921 | Frederick Donald Watters | Nurse Practitioner | 66 Sherman St Apt 3, Portland, ME 04101 | 2013-07-22 |
| 1881033439 | Nicole M Baxter | Nurse Practitioner | 2187 Sw Main St Ste 101, Portland, OR 97205-1123 | 2013-06-17 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
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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.