Organization Active NPI

Heartwood Health Inc

  • Infusion Therapy Registered Nurse
  • Oakland, CA
National Provider Identifier
1932304573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
G308288 Issued in CA
Legal business name
HEARTWOOD HEALTH INC
Practice address
6114 La Salle Ave # 221
Oakland, CA 94611-2802
Phone
(510) 339-1513
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michelle V Gilmore, RN,MSN,NP
Title
President
Phone
(510) 339-1513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WI0500X G308288 CA Primary

Addresses

Primary practice location

6114 La Salle Ave # 221
Oakland, CA 94611-2802

Mailing address

6114 La Salle Ave # 221
Oakland, CA 94611-2802
Phone (510) 339-1513

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932304573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 LA SALLE AVE # 221",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112802",
            "telephone_number": "510-339-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6114 LA SALLE AVE # 221",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112802",
            "telephone_number": "510-339-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTWOOD HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-339-1513",
        "authorized_official_credential": "RN,MSN,NP"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "CA",
            "license": "G308288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.