Organization Active NPI

Ekko HQ, Inc.

  • Adult Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1760111207
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
EKKO HQ, INC.
Practice address
150 NE Hawthorne Ave Ste 112
Bend, OR 97701-4690
Phone
(916) 225-3144
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Anthony Frederick Stone, BS, MS AEROSPACE
Title
Ceo
Phone
(916) 225-3144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

150 NE Hawthorne Ave Ste 112
Bend, OR 97701-4690

Mailing address

150 NE Hawthorne Ave Ste 112
Bend, OR 97701-4690
Phone (916) 225-3144

National Provider Directory

National Provider Directory

Locations

150 NE Hawthorne Ave
Ste 112
Bend, OR 97701
Phone (916) 225-3144

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1760111207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NE HAWTHORNE AVE STE 112",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014690",
            "telephone_number": "916-225-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NE HAWTHORNE AVE STE 112",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014690",
            "telephone_number": "916-225-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKKO HQ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-225-3144",
        "authorized_official_credential": "BS, MS AEROSPACE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 9, 2022; 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.