Active NPI
Rogue Valley Health & Wellness LLC
- Family Nurse Practitioner
- Medford, OR
National Provider Identifier
1225605017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ROGUE VALLEY HEALTH & WELLNESS LLC
- Practice address
- 1345 Poplar Dr
Medford, OR 97504-5207 - Phone
- (541) 941-6426
- NPI assigned
- Jun 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taira Warren, FNP
- Title
- Family Nurse Practitioner
- Phone
- (541) 941-6426
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1345 Poplar Dr
Medford, OR 97504-5207
Mailing address
1345 Poplar Dr
Medford, OR 97504-5207
National Provider Directory
National Provider DirectoryInteroperability endpoints
- lakieshasheaffer@rvhw.allscriptsdirect.net
- tairawarren@rvhw.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Medford, OR
- NPI 1760973739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1225605017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 POPLAR DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975045207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 POPLAR DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975045207",
"telephone_number": "541-941-6426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGUE VALLEY HEALTH & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-09",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "TAIRA",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "541-941-6426",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.