Daphne Med LLC

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

Legal business name

DAPHNE MED LLC

Doing business as

Self Integrative Care

Practice address

1630 Siskiyou Blvd Ste B
Ashland, OR 97520-2423

Phone

(541) 664-5151

Fax

(541) 664-5155

NPI assigned

Jul 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn F Self, FNP

Title

President

Phone

(541) 664-5151

Specialties & licenses 1

Addresses

Other names 1

• SELF INTEGRATIVE CARE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1194756114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573",
            "telephone_number": "541-664-5151",
            "fax_number": "541-664-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SISKIYOU BLVD STE B",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202423",
            "telephone_number": "541-664-5151",
            "fax_number": "541-664-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAPHNE MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-664-5151",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SELF INTEGRATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary J Danca, MA LMFT
• Daniel J Sengenberger
• Daniel J. Decillis, DDS, LLC (Soulsmile)
• Ariel Leigh Daniel, FNP
• Richard Donald Daniels, RN
• Erin M Daugherty
• David B Hagie DO LLC
• David Dryland, PC
• David R Layer DMD LLC
• David Scott Jones MD PC

• General Practice Registered Nurse in Ashland, OR
• Providers in Ashland, OR by specialty
• General Practice Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.