Individual provider Active NPI

Heather Rose Harmon

  • Nurse's Aide
  • Prineville, OR
National Provider Identifier
1205409893
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
201011340 Issued in OR
Practice address
357 NE Court St
Prineville, OR 97754-1936
Phone
(541) 504-7535
Fax
(541) 504-7535
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 201011340 OR Primary

Addresses

Primary practice location

357 NE Court St
Prineville, OR 97754-1936

Mailing address

PO Box 2298
Prineville, OR 97754-0470
Phone (541) 504-7535

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Heather@choicesrecovery.org Health Information Exchange (HIE)

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
201011340ORMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Choices Recovery Services, LLC CurrentSince Jul 25, 2021 Accepting new patients

Locations

357 NE CT St
Prineville, OR 97754
Phone (541) 504-7535

Interoperability endpoints

  • Direct secure messaging: heather@choicesrecovery.org

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1205409893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2298",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977540470",
            "telephone_number": "541-504-7535",
            "fax_number": "541-504-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 NE COURT ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541936",
            "telephone_number": "541-504-7535",
            "fax_number": "541-504-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "HEATHER",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OR",
            "license": "201011340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Heather@choicesrecovery.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "357 NE Court St",
            "city": "Prineville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977541936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prineville, OR

Sources for this page

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