Rita Herlong, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

000033561N6 Issued in OR

Practice address

4035 12TH Street Cutoff
Suit120
Salem, OR 97302-1764

Phone

(503) 363-4506

Fax

(503) 362-3607

NPI assigned

Nov 27, 2006

Last updated

May 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1033285713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5785",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973040785",
            "telephone_number": "503-363-4506",
            "fax_number": "503-362-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 12TH STREET CUTOFF",
            "address_2": "SUIT120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021764",
            "telephone_number": "503-363-4506",
            "fax_number": "503-362-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERLONG",
        "first_name": "RITA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "000033561N6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Herbert
• Laura Herbison, R.N.
• Allen Herinckx, DPT
• Weston W Heringer III, D.M.D.
• Weston Willard Heringer Jr., DMD
• Karime Hernandez Marrufo
• Jasmine Hernandez Pena
• Yesenia Hernandez- Zendejas
• Jose Andres Hernandez-Galvan
• Amy Marie Hernandez, PA-C, MS

• Psychiatric/Mental Health Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.