Active NPI
Heartwood Center, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Newberg, OR
National Provider Identifier
1710594155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HEARTWOOD CENTER, LLC
- Practice address
- 200 E 2ND St Ste 102
Newberg, OR 97132-3083 - Phone
- (503) 427-8581
- Fax
- (503) 461-0061
- NPI assigned
- Sep 29, 2020
- 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
- Samantha Rynearson, MN, PMHNP-BC, CNM
- Title
- Owner, Clinician
- Phone
- (503) 427-8581
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
200 E 2ND St Ste 102
Newberg, OR 97132-3083
Mailing address
14350 SW Hidden Hills Rd
McMinnville, OR 97128-8347
Phone (503) 427-8581
National Provider Directory
National Provider DirectoryLocations
200 E 2nd St
Ste 102
Newberg, OR 97132
Phone (503) 427-8581
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Newberg, OR
- NPI 1710133764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601337600000",
"number": "1710594155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14350 SW HIDDEN HILLS RD",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288347",
"telephone_number": "503-427-8581",
"fax_number": "503-461-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 2ND ST STE 102",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971323083",
"telephone_number": "503-427-8581",
"fax_number": "503-461-0061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTWOOD CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A",
"authorized_official_last_name": "RYNEARSON",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "OWNER, CLINICIAN",
"authorized_official_telephone_number": "503-427-8581",
"authorized_official_credential": "MN, PMHNP-BC, CNM"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.