Active NPI
Talisa Myers, RN
- Registered Nurse
- Bend, OR
National Provider Identifier
1760369391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 202103708RN
- Practice address
- 17054 Indio Rd # 4931
Bend, OR 97707-2031 - Phone
- (541) 205-9690
- NPI assigned
- Aug 18, 2025
- Last updated
- Aug 18, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 202103708RN | OR | Primary |
Addresses
Primary practice location
17054 Indio Rd # 4931
Bend, OR 97707-2031
Mailing address
PO Box 4931
Bend, OR 97707-4931
Phone (541) 948-2228
Other practice location 1
PO Box 4931
Bend, OR 97707-4931
Phone (541) 205-9690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202103708RN | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahavahealthcare LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1760369391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4931",
"city": "BEND",
"state": "OR",
"postal_code": "977074931",
"telephone_number": "541-948-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17054 INDIO RD # 4931",
"city": "BEND",
"state": "OR",
"postal_code": "977072031",
"telephone_number": "541-205-9690"
}
],
"practiceLocations": [
{
"address_1": "PO Box 4931",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977074931",
"country_code": "US",
"telephone_number": "541-205-9690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "TALISA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "202103708RN",
"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 Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.