Shay Dean Love, NCMA

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

4077 SW Research Way
Corvallis, OR 97333-1065

Phone

(541) 766-6190

Fax

(541) 766-6164

NPI assigned

Oct 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benton County

  • Adolescent and Children Mental Health Clinic/Center
  • Corvallis, OR
  • NPI 1730598038
  NPD (past)

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1538766829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MEADOWLARK LN",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973861310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 SW RESEARCH WAY",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331065",
            "telephone_number": "541-766-6190",
            "fax_number": "541-766-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "SHAY",
        "middle_name": "DEAN",
        "credential": "NCMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCT",
            "identifier": "962516",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Lotspeich, RDH
• Megan Louie, DO
• Sherril Louise, M.A.
• Katie Louk
• Casey Ray Love
• Tessa Love, LCSW
• Amber Lovejoy
• Aspen Sage Lovejoy
• Lynda Ann Lovretta, LCSW
• Rebecca Lynn Low

• Attendant Care Provider in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Attendant Care Provider in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; 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.