My Direct Health, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

201500076NP-PP Issued in OR

Legal business name

MY DIRECT HEALTH, LLC

Practice address

700 Twin Creeks Crossing Loop
Suite a
Central Point, OR 97502-8661

Phone

(541) 500-0561

Fax

(541) 982-7287

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Laurie B Dahl, NPNPI 1881087245

Title

Owner/Nurse Practitioner

Phone

(541) 500-0561

Specialties & licenses 2

Addresses

Other names 2

• MDH Infuze Doing business as
• Laurie Dahl, FNP Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/505677/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie B Dahl, FNP

  • Primary Care Nurse Practitioner
  • Central Point, OR
  • NPI 1881087245
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1235666272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 TWIN CREEKS CROSSING LOOP",
            "address_2": "SUITE A",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975028661",
            "telephone_number": "541-500-0561",
            "fax_number": "541-225-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TWIN CREEKS CROSSING LOOP",
            "address_2": "SUITE A",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975028661",
            "telephone_number": "541-500-0561",
            "fax_number": "541-982-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DIRECT HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "541-500-0561",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "201500076NP-PP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDH Infuze",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laurie Dahl, FNP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Laurie Dahl, FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph Sam Moseanko
• Joseph Moseley
• Kathie Ellen Moss
• Larry Lee Moss
• Taryn Lynmarie Mowrer
• Caroline Amy Myers
• Natalia Nazartchouk, NP
• Karen Diane Neilson, NP
• Steven A Nelson, DDS
• Chloe Anh Nguyen

• Primary Care Clinic/Center in Central Point, OR
• Providers in Central Point, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.