Active NPI
Rachael Hiebert, M.D.
- Pediatrics Physician
- Salem, OR
National Provider Identifier
1063773752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD182140
- Practice address
- 2478 13TH St SE
Salem, OR 97302-2546 - Phone
- (503) 362-2481
- Fax
- (503) 375-8700
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29315 | OK | |
| Pediatrics Physician | 208000000X | MD182140 | OR | Primary |
Addresses
Primary practice location
2478 13TH St SE
Salem, OR 97302-2546
Mailing address
2478 13TH St SE
Salem, OR 97302-2546
Phone (503) 362-2481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500723597 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29315 | OK | MD | Pediatrics Physician |
| MD182140 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Pediatric Clinic | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- rachael.hiebert.p23@direct.wvp.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1063773752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2478 13TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022546",
"telephone_number": "503-362-2481",
"fax_number": "503-375-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2478 13TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022546",
"telephone_number": "503-362-2481",
"fax_number": "503-375-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIEBERT",
"first_name": "RACHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "29315",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD182140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500723597",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.