Barbara Jeanne Herdman, P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

096006034N2 Issued in OR

Practice address

980 3Rd St
Suite 200
Tillamook, OR 97141-9469

Phone

(503) 842-5546

Fax

(503) 842-1444

NPI assigned

Sep 23, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1053307181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 200",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-842-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 200",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-842-5546",
            "fax_number": "503-842-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDMAN",
        "first_name": "BARBARA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "096006034N2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117023",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Wayne Hankins, D.C.
• Lacey J Hawkins
• Jennifer Hedden, M.D.
• Anne Louise Heiner
• Alana Rose Hennings
• Paul J Hernandez
• Robyn L Herrick
• Justin I. Hersom, LCSW
• Brett Jess Hestmark, D.M.D.
• Calvin Ray Hill, M.D.

• Pediatric Nurse Practitioner in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.