Middle Way Health Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

094006492N1 Issued in OR

Legal business name

MIDDLE WAY HEALTH CARE LLC

Practice address

2615 6TH St
Tillamook, OR 97141-4114

Phone

(503) 812-7367

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Joy Kendall, FNPNPI 1245291756

Title

Board Member/ FNP

Phone

(530) 812-7367

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Joy Kendall, FNP

  • Family Nurse Practitioner
  • Tillamook, OR
  • NPI 1245291756
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1417146549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 6TH ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971414114",
            "telephone_number": "503-842-4809",
            "fax_number": "503-842-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 6TH ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971414114",
            "telephone_number": "503-812-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE WAY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "BOARD MEMBER/ FNP",
        "authorized_official_telephone_number": "530-812-7367",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "094006492N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR LISA KENDALL FNP",
            "identifier": "1245291756",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218477",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla McRobert, THW
• Meadowland Adult Foster Home LLC
• Benius Karl Meier Jr., M.D.
• Perla Yadira Mendez
• Beatrice H Michel, OD
• Allison Miller, RN
• Ashley Marie Miller, LCSW
• Kimberlie Sue Miller, LCSW
• Ryan Michael Miller, MD
• Niels Stephen Mitchell

• Primary Care Clinic/Center in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.