Active NPI
Heartfelt Pediatrics, LLC
- Pediatrics Physician
- Bend, OR
National Provider Identifier
1225859002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- HEARTFELT PEDIATRICS, LLC
- Practice address
- 1001 SW Disk Dr Ste 250
Bend, OR 97702-3754 - Phone
- (541) 859-3550
- NPI assigned
- Oct 23, 2024
- 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
- Holly Maureen Milligan, CPNP-PC
- Title
- Owner/Pediatric Nurse Practitioner
- Phone
- (541) 859-3550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1001 SW Disk Dr Ste 250
Bend, OR 97702-3754
Mailing address
1001 SW Disk Dr Ste 250
Bend, OR 97702-3754
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2313451 | Heartfelt Pediatrics, LLC | Certificate of waiver | Oct 30, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Bend, OR
- NPI 1821602541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1225859002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SW DISK DR STE 250",
"city": "BEND",
"state": "OR",
"postal_code": "977023754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SW DISK DR STE 250",
"city": "BEND",
"state": "OR",
"postal_code": "977023754",
"telephone_number": "541-859-3550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTFELT PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-23",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "MILLIGAN",
"authorized_official_first_name": "HOLLY",
"authorized_official_middle_name": "MAUREEN",
"authorized_official_title_or_position": "OWNER/PEDIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "541-859-3550",
"authorized_official_credential": "CPNP-PC"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.