Active NPI
Encore Medical Group
- Nurse Practitioner
- La Grande, OR
National Provider Identifier
1508529926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ENCORE MEDICAL GROUP
- Practice address
- 1108 J Ave
La Grande, OR 97850-2073 - Phone
- (541) 663-4551
- NPI assigned
- Oct 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Hampton
- Title
- Owner
- Phone
- (541) 910-1848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1108 J Ave
La Grande, OR 97850-2073
Mailing address
1108 J Ave
La Grande, OR 97850-2073
Phone (541) 663-4551
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1508529926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 J AVE",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978502073",
"telephone_number": "541-663-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 J AVE",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978502073",
"telephone_number": "541-663-4551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENCORE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A",
"authorized_official_last_name": "HAMPTON",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-910-1848"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.