Praxis Health, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRAXIS HEALTH, PC

Doing business as

La Grande Family Medicine Urgent Care

Practice address

2011 4TH Street
La Grande, OR 97850

Phone

(541) 963-4139

Fax

(541) 429-6612

NPI assigned

Sep 9, 2020

Last updated

Aug 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica M Reagan

Title

Revenue Cycle Director

Phone

(541) 966-6136

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• La Grande Family Medicine Urgent Care Doing business as
• Praxis Medical Group Inc Former legal business name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Interpath Laboratory, Inc.

  • Clinical Medical Laboratory
  • Pendleton, OR
  • NPI 1548208440

  Member Of

  NPD member

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1730794637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 4TH STREET",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "97850",
            "telephone_number": "541-963-4139",
            "fax_number": "541-429-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "541-966-6136"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130225",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Grande Family Medicine Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Praxis Medical Group Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Karen Phelps, FNP
• Tanya Marie Phillips
• Steven K Pinther, D.O.
• Mary Grace Porter, D.O
• Praxis Health, PC
• Heather Elizabeth Preciado, LMT
• Katelyn Leigh Presley, CHW
• Jennifer Marie Province
• Brittany R Pryce, LCSW, CADC III
• Christine Joyce Quinto, M.D.

• Durable Medical Equipment & Medical Supplies in La Grande, OR
• Providers in La Grande, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.