SOFIA B KANNIER (NPI# 1962932889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962932889 |
| Entity Type | Individual |
| Full Name | SOFIA B KANNIER |
| Practice Address |
799 Long St Sweet Home OR 97386-3304 |
| Mailing Address |
1312 Wallace Rd Nw Apt 17 Salem OR 97304-3079 |
| Practice Telephone | 5413673888 |
| Practice Fax Number | 5413672407 |
| Mailing Telephone | 9717708664 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
799 LONG ST |
| City | SWEET HOME |
| State | OR |
| Zip Code | 97386-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891705901 | Christopher Elliot Simmons | Social Worker | 799 Long St, Sweet Home, OR 97386 | 2006-08-09 |
| 1538794383 | Priscilla L Mendes | Technician | 799 Long St, Sweet Home, OR 97386-3304 | 2020-03-11 |
| 1063928174 | Kelsey A Wray | Community Health Worker | 799 Long St, Sweet Home, OR 97386-3304 | 2017-12-27 |
| 1801278015 | Benton County | Clinic/Center | 799 Long St, Sweet Home, OR 97386-3304 | 2015-06-24 |
| 1447510094 | Kristin Holly | Social Worker | 799 Long St, Sweet Home, OR 97386-3304 | 2012-05-16 |
| 1295004133 | Jo Ann Hackworth | Case Manager/Care Coordinator | 799 Long St, Sweet Home, OR 97386-3304 | 2011-12-21 |
| 1245536432 | Susan B Gross | Nurse Practitioner | 799 Long St, Sweet Home, OR 97386-3304 | 2011-02-04 |
| 1891005039 | Tyler Neal | Social Worker | 799 Long St, Sweet Home, OR 97386-3304 | 2010-10-20 |
| 1861602716 | Carla Tadewaldt | Marriage & Family Therapist | 799 Long St, Sweet Home, OR 97386-3304 | 2007-05-22 |
| 1932328937 | Sandra Wiley | Counselor | 799 Long St, Sweet Home, OR 97386-3304 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649693342 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1980 Main Street, Sweet Home, OR 97386 | 2014-01-31 |
| 1912324583 | Muhammad A Qudoos | Pharmacist | 679 Main St, Sweet Home, OR 97386 | 2014-03-21 |
| 1730419441 | Brandy Glynn Davis | Pharmacist | 1540 Main St, Sweet Home, OR 97386 | 2009-12-30 |
| 1770640682 | Dennis M Lynch | Chiropractor | 920 Main St, Sweet Home, OR 97386 | 2007-01-02 |
| 1073954806 | Lifesource,inc | Community/Behavioral Health | 1266 44th Ave, Sweet Home, OR 97386-1235 | 2013-07-09 |
| 1124596879 | Peter Kauffman | Counselor | 1266 44th Ave, Sweet Home, OR 97386-1235 | 2018-11-10 |
| 1568659373 | Lynch Family Chiropractic Clinic PC | Chiropractor | 920 Main St, Sweet Home, OR 97386-1512 | 2007-09-26 |
| 1609919760 | Danca Lenna Inc | Pharmacy | 1023 Main St, Sweet Home, OR 97386-1515 | 2007-02-15 |
| 1053338004 | Twin Oaks Rehab, Inc. | Skilled Nursing Facility | 950 Nandina St, Sweet Home, OR 97386-1522 | 2006-07-16 |
| 1720346638 | Premere Rehab, LLC | Occupational Therapist | 950 Nandina St, Sweet Home, OR 97386-1522 | 2012-04-27 |
| Find all providers in zip 97386 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794383 | Priscilla L Mendes | Technician | 799 Long St, Sweet Home, OR 97386-3304 | 2020-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575388 | Sierra N Thomas | Technician | 3827 Pine St Se, Albany, OR 97322-6161 | 2020-10-14 |
| 1275157190 | Camille R Hernandez | Technician | 1940 Sw Forest Ridge Ave, Bend, OR 97702-1917 | 2020-06-05 |
| 1790308567 | Christina Marie La Fon | Technician | 2280 Ne Cherry Loop, Prineville, OR 97754-9328 | 2020-05-27 |
| 1033738109 | Irene Sanae Higashi-breshears | Technician | 1000 Ne 10th Ave, Canby, OR 97013-3207 | 2020-04-09 |
| 1841822996 | Beverley Ann Service | Technician | 2355 Morrow Ct Nw, Salem, OR 97304-1763 | 2020-02-06 |
| 1669019444 | Rebecca Baxter | Technician | 300 Boulder Falls Dr Apt E117, Lebanon, OR 97355-2882 | 2019-11-29 |
| 1477199537 | Shane A Marx | Technician | 6200 Poplar Ln, Independence, OR 97351-9659 | 2019-11-25 |
| 1114563459 | Cecilia Dwigans | Technician | 485 Colonial Ct, Tillamook, OR 97141-6100 | 2019-11-21 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1396389714 | Linda Lee Parker | Technician | 468 Palmer Dr N, Keizer, OR 97303-7424 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SWEET HOME |
| Zip Code | 97386 |
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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.