Brenda Carol Herold, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

000035838N6 Issued in OR

Practice address

2905 SE Madison St
Portland, OR 97214-4154

Phone

(503) 320-5001

Fax

(503) 234-1952

NPI assigned

Sep 7, 2005

Last updated

May 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Brenda Herold, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1750668398
  Authorized official Same address or phone

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1629062518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14189",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972930189",
            "telephone_number": "503-320-5001",
            "fax_number": "503-234-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144154",
            "telephone_number": "503-320-5001",
            "fax_number": "503-234-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "BRENDA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "000035838N6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila C Hernandez
• Stephanie Luz Hernandez
• Victor Hernandez
• Zoe Elizabeth Hernandez, AUD
• John Herndon
• Katie Herold, D.C.
• Stefan Michael Herold, D.C.
• Keegan Heron
• Daniel Bret Herr, M.D.
• Pang Lee Herr, M.S. SLP

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.