Praxis Health, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRAXIS HEALTH, PC

Practice address

1315 NW 4TH Street
Redmond, OR 97756

Phone

(541) 548-9159

Fax

(541) 548-9168

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Jessica M Reagan

Title

Revenue Cycle Director

Phone

(541) 966-6136

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• DESERT ORTHOPEDICS Doing business as
• Praxis Medical Group Inc Former legal business name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Interpath Laboratory, Inc.

  • Clinical Medical Laboratory
  • Pendleton, OR
  • NPI 1548208440

  Member Of

  NPD member

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1235798679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 NW 4TH STREET",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-548-9159",
            "fax_number": "541-548-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "541-966-6136"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130225",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT ORTHOPEDICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Praxis Medical Group Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephen Pool, M.D.
• Kristen Poppert, LPC
• Raymond Jay Poppleton, CRM
• Sarah Jane Porter
• Bobby Norman Powell, LMFT
• Prescryptive Pharmacy & Patient Services Inc
• Prescryptive Pharmacy & Patient Services Inc
• Prescryptive Pharmacy & Patient Services Inc
• Prescryptive Pharmacy & Patient Services Inc
• Amber Price

• Durable Medical Equipment & Medical Supplies in Redmond, OR
• Providers in Redmond, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

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