Individual provider Active NPI

Paris Quincy-Jamal Heart-Hester

  • Case Manager/Care Coordinator
  • Vancouver, WA
National Provider Identifier
1174071997
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
HEARTPG092KF Issued in WA
Practice address
1701 Broadway St # 212
Vancouver, WA 98663-3436
Phone
(360) 991-1811
NPI assigned
Sep 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X HEARTPG092KF WA Primary

Addresses

Primary practice location

1701 Broadway St # 212
Vancouver, WA 98663-3436

Mailing address

1012 Esther St
Vancouver, WA 98660-3028

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HEARTPG092KFWAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1174071997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 ESTHER ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BROADWAY ST # 212",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633436",
            "telephone_number": "360-991-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEART-HESTER",
        "first_name": "PARIS",
        "middle_name": "QUINCY-JAMAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "HEARTPG092KF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.