Amy Jarvis, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

086003275RN Issued in OR

Practice address

470 NE a St
Madras, OR 97741-1844

Phone

(541) 460-4030

Fax

(541) 475-0602

NPI assigned

Jun 2, 2010

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 names 1

• Amy Baltzor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1881914778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NW BIRCH LN",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977419044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 NE A ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411844",
            "telephone_number": "541-460-4030",
            "fax_number": "541-475-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OR",
            "license": "086003275RN",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "OR",
            "license": "086003275RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BALTZOR",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy J Hurley, MS
• Leona Ike, CRM
• William P Irvine, MD
• Lorena Jaimes-Jaramillo
• Patrick WM Jaross, QMHP
• Jefferson County Emergency Medical Services District
• Jefferson County Rural Fire Protection District
• John K Ross, MD PC
• Lisa Marie Johnson, MSW
• Marissa Rose Kalama, CRM

• Home Health Registered Nurse in Madras, OR
• Providers in Madras, OR by specialty
• Home Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.