Active NPI
Praxis Health, PC
- Durable Medical Equipment & Medical Supplies
- Bend, OR
National Provider Identifier
1821620402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PRAXIS HEALTH, PC
- Practice address
- 2215 NW Shevlin Park Road
Suite 100
Bend, OR 97703-7195 - Phone
- (541) 389-7741
- Fax
- (541) 787-4845
- NPI assigned
- Feb 11, 2020
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2215 NW Shevlin Park Road
Suite 100
Bend, OR 97703-7195
Mailing address
PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130225 | Medicaid | OR |
Other names 2
- High Lakes Urgent Care
- Praxis Medical Inc
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2215 NW Shevlin Park Rd
Ste 100
Bend, OR 97703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630022400000",
"number": "1821620402",
"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": "2215 NW SHEVLIN PARK ROAD",
"address_2": "SUITE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977037195",
"telephone_number": "541-389-7741",
"fax_number": "541-787-4845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAXIS HEALTH, PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-11",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"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": "High Lakes Urgent Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Praxis Medical Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 27, 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.