Wholistic Health for Women

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

RN456541NP5830 Issued in CA

Legal business name

WHOLISTIC HEALTH FOR WOMEN

Practice address

909 Curry Road
Rosenburg, OR 97471-8508

Phone

(619) 260-0810

Fax

(541) 802-0787

NPI assigned

Aug 28, 2008

Last updated

Sep 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Suzann A. Gage, APNP, WHNP, LACNPI 1265663058

Title

President and Executive Director

Phone

(619) 260-0810

Specialties & licenses 7

Addresses

Other identifiers 1

Locations

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.

• Suzann Adrienne Gage, APNP, WHNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Roseburg, OR
  • NPI 1265663058

  Acupuncturist

  NPD Authorized official

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1104074459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 CURRY RD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718508",
            "telephone_number": "619-260-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 CURRY ROAD",
            "city": "ROSENBURG",
            "state": "OR",
            "postal_code": "974718508",
            "telephone_number": "619-260-0810",
            "fax_number": "541-802-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC HEALTH FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "SUZANN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-260-0810",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APNP, WHNP, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN456541NP5830",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "RN456541NP5830",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "CA",
            "license": "RN456541NP5830",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5147",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C51231",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "11881456",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Dean Durst, DMD
• Heather Rebecca Holmes, MD

• Obstetrics & Gynecology Nurse Practitioner in Rosenburg, OR
• Providers in Rosenburg, OR by specialty
• Obstetrics & Gynecology Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.