Active NPI
The Family Health Clinic of Lapine
- Family Nurse Practitioner
- La Pine, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- THE FAMILY HEALTH CLINIC OF LAPINE
- Practice address
- 16480 William Foss Rd
La Pine, OR 97739-9486 - Phone
- (541) 536-8012
- Fax
- (541) 536-9873
- NPI assigned
- Apr 9, 2007
- Last updated
- Oct 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda J Molina
- Title
- President
- Phone
- (541) 536-8012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
16480 William Foss Rd
La Pine, OR 97739-9486
Mailing address
PO Box 126
La Pine, OR 97739-0126
Phone (541) 536-8012
National Provider Directory
National Provider DirectoryLocations
16480 William Foss Rd
La Pine, OR 97739
Phone (541) 536-8012
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- La Pine, OR
- NPI 1215919436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192665600000",
"number": "1013030444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 126",
"city": "LA PINE",
"state": "OR",
"postal_code": "977390126",
"telephone_number": "541-536-8012",
"fax_number": "541-536-9873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16480 WILLIAM FOSS RD",
"city": "LA PINE",
"state": "OR",
"postal_code": "977399486",
"telephone_number": "541-536-8012",
"fax_number": "541-536-9873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FAMILY HEALTH CLINIC OF LAPINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2007-10-18",
"status": "A",
"authorized_official_last_name": "MOLINA",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-536-8012"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Pine, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.