Shelley A. Hart, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

201404163NP-PP Issued in OR

Practice address

702 SW Ramsey Ave
Suite 120
Grants Pass, OR 97527-5858

Phone

(541) 476-3000

Fax

(541) 479-5101

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Heather a. Kahn, MD PC

  • General Practice Physician
  • Grants Pass, OR
  • NPI 1861443186

  Family Medicine

  NPD (past)
• Northern Arizona Orthopaedics, LTD.

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1164495503
  NPD (past)
• Richard Covey, MD, PC

  • Primary Care Clinic/Center
  • Prescott, AZ
  • NPI 1346577632
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1841483575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW RAMSEY AVE",
            "address_2": "SUITE 120",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275858",
            "telephone_number": "541-476-3000",
            "fax_number": "541-479-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW RAMSEY AVE",
            "address_2": "SUITE 120",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275858",
            "telephone_number": "541-476-3000",
            "fax_number": "541-479-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "SHELLEY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "201404163NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Jene Harris, L. AC
• Shawn Robert Harris, DACM, L.AC
• Shona Tess Harris
• Rebecca L Harrold, OTR/L
• Rishiinder Harry
• Tiffany Hart
• Bryan Hartman
• Robin Harvey
• Quinton Mykal Harwood-Barnes, PSS
• Jason Hassman

• Family Medicine Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.