Individual provider Active NPI

Heidi Alex

  • Community Health Worker
  • Hillsboro, OR
National Provider Identifier
1255713574
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
15-CRM-096 Issued in OR
Practice address
4660 NE Belknap CT Ste 101X
Hillsboro, OR 97124-8403
Phone
(503) 543-6100
NPI assigned
Jun 23, 2015
Last updated
Jun 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 15-CRM-096 OR Primary

Addresses

Primary practice location

4660 NE Belknap CT Ste 101X
Hillsboro, OR 97124-8403

Mailing address

4660 NE Belknap CT Ste 101X
Hillsboro, OR 97124-8403
Phone (503) 543-6100

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
15-CRM-096ORMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1255713574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 NE BELKNAP CT STE 101X",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971248403",
            "telephone_number": "503-543-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 NE BELKNAP CT STE 101X",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971248403",
            "telephone_number": "503-543-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEX",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "15-CRM-096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.