Active NPI
Emily Harris-Deutch, FNP
- Family Nurse Practitioner
- Bend, OR
National Provider Identifier
1730456682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201500099NP-PP
- Practice address
- 354 NE Greenwood Ave Ste 211
Bend, OR 97701-4630 - Phone
- (541) 320-7930
- NPI assigned
- Nov 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60158012 | WA | |
| Registered Nurse | 163W00000X | 201407500RN | OR | |
| Family Nurse Practitioner | 363LF0000X | AP60244781 | WA | |
| Primary Care Nurse Practitioner | 363LP2300X | AP4972 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 201500099NP-PP | OR | Primary |
Addresses
Primary practice location
354 NE Greenwood Ave Ste 211
Bend, OR 97701-4630
Mailing address
2400 NE Neff Rd Ste a
Bend, OR 97701-6752
Phone (541) 389-3300
Other practice location 1
2400 NE Neff Rd Ste A
Bend, OR 97701-6752
Phone (541) 389-3300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500683796 | Medicaid | OR | |
| 0288502 | Other | WA | DEPT OF LABOR AND INDUSTRIES |
| 2015844 | Medicaid | WA | |
| P01087662 | Other | WA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60158012 | WA | MD | Registered Nurse |
| AP60244781 | WA | MD | Family Nurse Practitioner |
| AP4972 | AZ | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Harris Wellness LLC | Family | Current | Accepting new patients |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
354 NE Greenwood Ave
Ste 211
Bend, OR 97701
Phone (541) 320-7930
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1730456682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 NE NEFF RD STE A",
"city": "BEND",
"state": "OR",
"postal_code": "977016752",
"telephone_number": "541-389-3300",
"fax_number": "541-389-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 NE GREENWOOD AVE STE 211",
"city": "BEND",
"state": "OR",
"postal_code": "977014630",
"telephone_number": "541-320-7930"
}
],
"practiceLocations": [
{
"address_1": "2400 NE Neff Rd Ste A",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977016752",
"country_code": "US",
"telephone_number": "541-389-3300",
"fax_number": "541-389-8115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS-DEUTCH",
"first_name": "EMILY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-21",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60158012",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201407500RN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60244781",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "AP4972",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201500099NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500683796",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR AND INDUSTRIES",
"identifier": "0288502",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2015844",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01087662",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.