NPIMap

Organization Active NPI

Healing Spirit Integrative Health Center Inc

  • Primary Care Clinic/Center
  • Eugene, OR
National Provider Identifier
1013114172
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
81001432RN(N3) Issued in OR
Legal business name
HEALING SPIRIT INTEGRATIVE HEALTH CENTER INC
Practice address
1355 Oak St Ste 100
Eugene, OR 97401-3566
Phone
(541) 683-1125
Fax
(541) 683-2049
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Carma JB Douglas, NP
Title
President and Nurse Practitioner
Phone
(541) 683-1125

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 200841796RN OR
Multi-Specialty Clinic/Center 261QM1300X 201508020RN OR
Primary Care Clinic/Center 261QP2300X 81001432RN(N3) OR Primary
Primary Care Clinic/Center 261QP2300X 080045015NS OR
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1355 Oak St Ste 100
Eugene, OR 97401-3566

Mailing address

1355 Oak St Ste 100
Eugene, OR 97401-3566
Phone (541) 683-1125

Other identifiers 1

IdentifierTypeStateIssuer
500667910MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1013114172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 OAK ST STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013566",
            "telephone_number": "541-683-1125",
            "fax_number": "541-683-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 OAK ST STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013566",
            "telephone_number": "541-683-1125",
            "fax_number": "541-683-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SPIRIT INTEGRATIVE HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "CARMA",
        "authorized_official_middle_name": "JB",
        "authorized_official_title_or_position": "PRESIDENT AND NURSE PRACTITIONER",
        "authorized_official_telephone_number": "541-683-1125",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OR",
            "license": "200841796RN",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OR",
            "license": "201508020RN",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "81001432RN(N3)",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "080045015NS",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500667910",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.