Organization Active NPI

Angela L Herget

  • Specialist
  • Redmond, OR
National Provider Identifier
1013391671
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15856 Issued in OR
Legal business name
ANGELA L HERGET
Practice address
716 SW 11TH St
Redmond, OR 97756-2648
Phone
(541) 948-7090
NPI assigned
Jul 14, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Angela Lynn Herget, LMT CA
Title
LMT #15856 / Owner
Phone
(541) 948-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 15856 OR Primary

Addresses

Primary practice location

716 SW 11TH St
Redmond, OR 97756-2648

Mailing address

810 NW Teak Ave
Redmond, OR 97756-1234
Phone (541) 948-7090

National Provider Directory

National Provider Directory

Locations

716 SW 11th St
Redmond, OR 97756
Phone (541) 788-5732

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1013391671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NW TEAK AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561234",
            "telephone_number": "541-948-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 SW 11TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562648",
            "telephone_number": "541-948-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA L HERGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "HERGET",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LMT #15856 / OWNER",
        "authorized_official_telephone_number": "541-948-7090",
        "authorized_official_credential": "LMT CA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "15856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.