Active NPI
Alpenaura Holistic Health LLC
- Adult Health Nurse Practitioner
- Bend, OR
National Provider Identifier
1972329019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- ALPENAURA HOLISTIC HEALTH LLC
- Practice address
- 2275 NE Doctors Dr Ste 1
Bend, OR 97701-6324 - Phone
- (404) 759-5378
- NPI assigned
- Nov 22, 2024
- 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
- Ms. Jade Carboy, NP
- Title
- Nurse Practitioner
- Phone
- (404) 759-5378
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
2275 NE Doctors Dr Ste 1
Bend, OR 97701-6324
Mailing address
2275 NE Doctors Dr Ste 1
Bend, OR 97701-6324
Phone (404) 759-5378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1972329019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 NE DOCTORS DR STE 1",
"city": "BEND",
"state": "OR",
"postal_code": "977016324",
"telephone_number": "404-759-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 NE DOCTORS DR STE 1",
"city": "BEND",
"state": "OR",
"postal_code": "977016324",
"telephone_number": "404-759-5378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPENAURA HOLISTIC HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-22",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "CARBOY",
"authorized_official_first_name": "JADE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "404-759-5378",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.