Individual provider Active NPI

Jessica Lee Hebert, ND

  • Naturopath
  • Corvallis, OR
National Provider Identifier
1881954253
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4396 Issued in OR
Practice address
230 SW 3Rd St # 204B
Corvallis, OR 97333-4692
Phone
(425) 891-5041
NPI assigned
May 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1224 CA
Naturopath 175F00000X NT60469451 WA
Massage Therapist 225700000X MA60239984 WA
Naturopath 175F00000X 4396 OR Primary

Addresses

Primary practice location

230 SW 3Rd St # 204B
Corvallis, OR 97333-4692

Mailing address

1615 SE Bethel St
Corvallis, OR 97333-1251
Phone (425) 891-5041

Other practice location 1

1423 10th Ave
Suite 6
Seattle, WA 98122-3889
Phone (425) 891-5041

Other practice location 2

732 Bellis Ct
San Jose, CA 95123-4601
Phone (425) 891-5041

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

State licenses

LicenseStateTypeSpecialty
NT60469451WAMDNaturopath
4396ORMDPhysical Therapist
MA60239984WAMDMassage Therapist
1224CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1881954253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 SE BETHEL ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331251",
            "telephone_number": "425-891-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SW 3RD ST # 204B",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334692",
            "telephone_number": "425-891-5041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 10th Ave",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981223889",
            "country_code": "US",
            "telephone_number": "425-891-5041",
            "fax_number": "206-347-8601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "732 Bellis Ct",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951234601",
            "country_code": "US",
            "telephone_number": "425-891-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "1224",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60469451",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60239984",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.