Individual provider Active NPI

Alana Rose Hennings

  • Community Health Worker
  • Tillamook, OR
National Provider Identifier
1184469504
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
111332 Issued in OR
Practice address
801 Pacific Ave
Tillamook, OR 97141-3926
Phone
(503) 842-3900
Fax
(503) 842-3901
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 111332 OR Primary

Addresses

Primary practice location

801 Pacific Ave
Tillamook, OR 97141-3926

Mailing address

801 Pacific Ave
Tillamook, OR 97141-3926
Phone (503) 842-3900

Other names 1

  • Alana Rose Nova Other name

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
111332ORMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1184469504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PACIFIC AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413926",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PACIFIC AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413926",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGS",
        "first_name": "ALANA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "111332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALANA",
            "last_name": "NOVA",
            "middle_name": "ROSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tillamook, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.