KYMBERLI DAWN EREVIA (NPI# 1982149647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982149647 |
Entity Type | Individual |
Full Name | KYMBERLI DAWN EREVIA |
Practice Address |
104 S. W. Kinkade Road Boardman OR 97818 |
Mailing Address |
250 Ne Marshall Loop Boardman OR 97818-9765 |
Practice Telephone | 5414812911 |
Practice Fax Number | 5414812006 |
Mailing Telephone | 5413141921 |
Enumeration Date | 2017-01-04 |
Last Update Date | 2017-01-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
Street Address |
104 S. W. KINKADE ROAD |
City | BOARDMAN |
State | OR |
Zip Code | 97818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
1194277814 | Scott R Ruch | Community/Behavioral Health | 104 Sw. Kinkade Rd, Boardman, OR 97818 | 2016-10-28 |
1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
1801151121 | Mayra Colin Carrillo | Counselor | 104 S.w. Kinkade Rd., Boardman, OR 97818 | 2012-07-12 |
1306103429 | Good Shepherd Medical Service Corp | Pharmacy | 220 S. Main, Boardman, OR 97818 | 2012-04-13 |
1437359387 | Emily Dawn Reynolds | Counselor | 104 Sw Kinkade Road, Boardman, OR 97818 | 2007-07-19 |
1548485865 | Hayden Family Dentistry Group | Dentist | 300 Tatone, Boardman, OR 97818 | 2007-04-13 |
1336294057 | Brandi Nichole Pollick | Counselor | 101 Nw Boardman Ave, Boardman, OR 97818 | 2007-01-24 |
1346300159 | Boardman Hardware Inc | Pharmacy | 202 N.w. First, Boardman, OR 97818 | 2006-12-11 |
Find all providers in zip 97818 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861891517 | Elliott Brodzinski | Specialist | 5111 Market St Ste 1, Boardman, OH 44512-2141 | 2014-08-19 |
1457559163 | Allied Pain Treatment Center | Specialist | 950 Windham Court, Suite 1, Boardman, OH 44512 | 2007-07-03 |
1356317218 | Uma C Perni | Specialist | 7067 Tiffany, Suite 220, Boardman, OH 44514 | 2006-02-28 |
1114918133 | John Joseph Buckley Jr. | Specialist | 935 Trailwood Dr, Boardman, OH 44512-5062 | 2005-10-31 |
1720078298 | John S Venglarcik | Specialist | 819 Mckay Ct Ste B3, Boardman, OH 44512-5771 | 2005-10-26 |
1215923115 | John Raymond Bernat | Specialist | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 | 2005-09-26 |
1114920204 | James Armile | Specialist | 8262 South Ave, Boardman, OH 44512-6415 | 2005-05-23 |
1679996284 | Douglas Schneider | Specialist | 100 Debartolo Pl Ste 220, Boardman, OH 44512-6095 | 2014-02-03 |
1457598898 | Pinnacle Health Concepts, LLC | Specialist | 1280 Boardman Canfield Rd, Ste 6, Boardman, OH 44512-4073 | 2009-01-07 |
1891825535 | Pinnacle Health Concepts, LLC | Specialist | 755 Boardman Canfield Rd, Bldg F, Unit 2, Boardman, OH 44512-4300 | 2007-03-06 |
Find all providers in BOARDMAN |
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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.