CAMILLE E. LEIDER (NPI# 1972548766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972548766 |
| Entity Type | Individual |
| Full Name | CAMILLE E. LEIDER |
| Credential | FNP |
| Practice Address |
3355 Riverbend Dr Ste 300 Springfield OR 97477-8800 |
| Practice Telephone | 5418689303 |
| Practice Fax Number | 5418689306 |
| Mailing Telephone | 5418689303 |
| Mailing Fax Number | 5418689306 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200450020NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 275061 | 05 |
| Street Address |
3355 RIVERBEND DR STE 300 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770564015 | Duc Minh Vo | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2005-11-11 |
| 1376027698 | Clara Stone | Physician Assistant | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2018-09-21 |
| 1205355740 | Heidi Marie Semple | Nurse Practitioner | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2017-09-15 |
| 1154796878 | Kelly Marie Christner | Physician Assistant | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2015-12-07 |
| 1780933952 | Gregg Vincent Kosloff | Physician Assistant | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2012-09-04 |
| 1366732729 | Katelyn Ann Clark | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2011-04-19 |
| 1972802148 | Cassandra M. Wolanin | Nurse Practitioner | 3355 Riverbend Dr Ste 300, Springfield, OR 97477 | 2011-03-27 |
| 1942447032 | Kevin Andrew Modeste | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2009-01-12 |
| 1366691750 | David D Mcallister | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477 | 2008-09-10 |
| 1790945418 | Loic J. Fabricant | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2008-06-16 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on CAMILLE E. LEIDER.
| 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.