Heather L. Barraclough, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

202112847NP-PP Issued in OR

Practice address

850 Siskiyou Blvd Ste 8
Ashland, OR 97520-2125

Phone

(541) 906-3113

NPI assigned

Oct 27, 2021

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

State licenses

Practice roles

Locations

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.

• Eden Practitioners LLC

  dba Eden Practitioners

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1376219147
  Medicare reassignment NPD
• Valley Medical Care LLC

  • Clinic/Center
  • Ashland, OR
  • NPI 1962241448
  NPD Authorized official

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1841954641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 MEADOW DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203765",
            "telephone_number": "415-519-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SISKIYOU BLVD STE 8",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202125",
            "telephone_number": "541-906-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRACLOUGH",
        "first_name": "HEATHER",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202112847NP-PP",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OR",
            "license": "202112847NP-PP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841954641",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott A Bandoroff, PSYCHOLOGIST (PHD)
• Angela Barber, SLP
• Malinda Barclay, LCSW
• Barika LLC
• Lucy Larkin Barnes, DOULA
• Julia Barth, BS
• Jane Barton, LMT
• John W. Barton, M.D.
• Jason K Bates, OD
• Lilly Pearl Baty, LMT

• Family Nurse Practitioner in Ashland, OR
• Providers in Ashland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.