Individual provider Active NPI

Heidi Louise Hart, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1396872032
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
000032754N6 PMHNP-PP Issued in OR
Practice address
15455 NW Greenbrier Pkwy
Suite 240
Beaverton, OR 97006-7374
Phone
(503) 533-9870
Fax
(503) 914-1590
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
000032754N6 PMHNP-PPORMDPsychiatric/Mental Health Nurse Practitioner

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 000032754N6 PMHNP-PP OR Primary

Addresses

Primary practice location

15455 NW Greenbrier Pkwy
Suite 240
Beaverton, OR 97006-7374

Mailing address

1575 SW Dellwood Ave
Portland, OR 97225-4853
Phone (503) 646-9529

Other identifiers 1

IdentifierTypeStateIssuer
050182MedicaidOR

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396872032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 SW DELLWOOD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972254853",
            "telephone_number": "503-646-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY",
            "address_2": "SUITE 240",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067374",
            "telephone_number": "503-533-9870",
            "fax_number": "503-914-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "HEIDI",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "000032754N6 PMHNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050182",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.