Healthpass LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HEALTHPASS LLC

Practice address

1655 Liberty St SE
Salem, OR 97302-4347

Phone

(503) 339-7689

NPI assigned

Jun 3, 2021

Last updated

Jun 3, 2021By 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

Joi Farlough MatthewsNPI 1396522488

Title

Manager

Phone

(404) 840-6596

Specialties & licenses 1

Addresses

Electronic endpoints 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.

• Joi Farlough-Matthews

  • Contractor
  • Columbus, GA
  • NPI 1396522488
  Authorized official Same address or phone

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1184290660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3125",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020125",
            "telephone_number": "503-537-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024347",
            "telephone_number": "503-339-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPASS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "FARLOUGH MATTHEWS",
        "authorized_official_first_name": "JOI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-840-6596"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SALEM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1655 Liberty St SE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973024347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.