Individual provider Active NPI

Heather Elizabeth Laird, ANP

  • Adult Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1376878165
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
201250214NP Issued in OR
Practice address
2300 NE Neff Rd
Bend, OR 97701-6577
Phone
(541) 383-3005
Fax
(541) 383-1883
NPI assigned
Oct 12, 2009
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 19158 CA
Adult Health Nurse Practitioner 363LA2200X 201250214NP OR Primary

Addresses

Primary practice location

2300 NE Neff Rd
Bend, OR 97701-6577

Mailing address

2300 NE Neff Rd
Bend, OR 97701-6577
Phone (541) 330-9001

Other practice location 1

2 Embarcadero Ctr Lbby
San Francisco, CA 94111-3823
Phone (415) 578-3100

Other practice location 2

375 NW Beaver St Ste 101
Prineville, OR 97754-1802
Phone (541) 447-0707

Other practice location 3

850 SW 4th St
Suite 101
Madras, OR 97741-9628
Phone (541) 475-7800

Other identifiers 1

IdentifierTypeStateIssuer
500670847MedicaidOR

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers in Medicine Clinic of the Cascades Current Accepting new patients
St. Charles Health System, Inc. PastSince Jun 1, 2014 Accepting new patients

Locations

2300 NE Neff Rd
Bend, OR 97701
Phone (541) 330-9001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1376878165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016577",
            "telephone_number": "541-330-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016577",
            "telephone_number": "541-383-3005",
            "fax_number": "541-383-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Embarcadero Ctr Lbby",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941113823",
            "country_code": "US",
            "telephone_number": "415-578-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 NW Beaver St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Prineville",
            "state": "OR",
            "postal_code": "977541802",
            "country_code": "US",
            "telephone_number": "541-447-0707",
            "fax_number": "541-383-1883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 SW 4th St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Madras",
            "state": "OR",
            "postal_code": "977419628",
            "country_code": "US",
            "telephone_number": "541-475-7800",
            "fax_number": "541-383-1883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "HEATHER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "19158",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201250214NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500670847",
            "state": "OR"
        }
    ],
    "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 Dec 22, 2022; 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.