Organization Active NPI

Good Health Direct Primary Care LLC

  • Family Nurse Practitioner
  • Medford, OR
National Provider Identifier
1548196769
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GOOD HEALTH DIRECT PRIMARY CARE LLC
Practice address
814 E Jackson St
Medford, OR 97504-6011
Phone
(541) 414-7512
NPI assigned
Jun 23, 2026
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Consuelo Bartyzal, FNPNPI 1336781863
Title
Owner
Phone
(541) 414-7512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

814 E Jackson St
Medford, OR 97504-6011

Mailing address

3377 Snowy Butte LN
Central Point, OR 97502-1561

National Provider Directory

National Provider Directory
Tax ID family
Good Health Direct Primary Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

814 E Jackson St
Medford, OR 97504

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1548196769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 SNOWY BUTTE LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046011",
            "telephone_number": "541-414-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEALTH DIRECT PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "BARTYZAL",
        "authorized_official_first_name": "CONSUELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-414-7512",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.