Kyla M Mccormick
Peer Specialist

Address: 109 Nw Manzanita Avenue, Grants Pass, OR 97526
Phone: 5414798847

Kyla M Mccormick (NPI# 1205476777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1205476777
Entity Type Individual
Full Name Kyla M Mccormick
Credential CRM
Gender Female
Practice Address 109 Nw Manzanita Avenue
Grants Pass
OR 97526
Practice Telephone 5414798847
Mailing Address 1215 Sw G St
Grants Pass
OR 97526-2544
Mailing Telephone 5414762373
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-01-13
Last Update Date 2020-01-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 175T00000X Peer Specialist Other Service Providers 19-CRM-273 OR

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134752579 Lisa Kennedy Peer Specialist 132 Ne B St # 24, Grants Pass, OR 97526-2114 2020-02-13
1922654201 Titan Colby Marval Peer Specialist 109 N.e. Menzanita Avenue, Grants Pass, OR 97526-1400 2019-08-13
1881063956 Monica Conley Peer Specialist 1215 Sw G Street, Grants Pass, OR 97526-2544 2015-09-18
1346871555 Benjamin Tayson Peer Specialist 356 Ne Beacon Dr, Grants Pass, OR 97526-3815 2020-01-28
1881237022 Jestin Murphy Peer Specialist 1215 Sw G St, Grants Pass, OR 97526-2544 2019-10-21
1053966218 Dana Alan Zavolta Peer Specialist 320 Sw Ramsey Ave, Grants Pass, OR 97527-5529 2019-08-05
1295389427 Patricia Arleen Kraemer Peer Specialist 1545 Harbeck Rd, Grants Pass, OR 97527-5605 2019-07-25
1801351465 Anna Waldon Peer Specialist 418 Nw 6th St, Grants Pass, OR 97526-2006 2019-02-07
1801367958 Cynthia Batchelor Peer Specialist 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 2018-12-16
1053893297 Steven Maurice Richards Peer Specialist 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 2018-09-04
Find all providers in GRANTS PASS

Office Location

Street Address 109 NW MANZANITA AVENUE
State OR
Zip Code 97526

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164076469 Alicia Yvonne Hansen Counselor 1055 Clarey St., Grants Pass, OR 97526 2019-07-25
1841842598 Michael Liam Reynolds, Dds, LLC Dentist 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 2019-07-12
1881254746 Brandi Mccrorey Counselor 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 2019-06-13
1700364502 Premier Community Supports, LLC. Day Training, Developmentally Disabled Services 1439 Ne 6th St Ste C, Grants Pass, OR 97526 2018-08-02
1821584509 Stefani Mcintyre Massage Therapist 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 2018-07-06
1114467438 Sandra P Martin Chiropractor 333 Sw 5th St. Suite B, Grants Pass, OR 97526 2017-03-06
1801347612 Maci Wageman Counselor 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 2016-10-17
1902353907 Optimal Health of Southern Oregon, LLC Family Medicine 1600 Nw 6th St South Suite, Grants Pass, OR 97526 2016-09-07
1982150793 Tanya White Counselor 402 Nw Fstreet, Grants Pass, OR 97526 2016-08-31
1871968602 Jeffrey A Christophersen Counselor 109 Nw Manzanita Ave, Grants Pass, OR 97526 2015-12-04
Find all providers in zip 97526


Search similar providers

Zip Code 97526

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Dataset Information

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.