Organization Active NPI

Heartwood Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newberg, OR
National Provider Identifier
1710594155
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Samantha Rynearson, MN, PMHNP-BC, CNMNPI 1710133764
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.