Active NPI
Heartwood Health Inc
- Infusion Therapy Registered Nurse
- Oakland, CA
National Provider Identifier
1932304573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- G308288
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 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 DirectoryNPI 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.