Brandy Halvorsen, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

211 Arnold Ave
Ste 15
Klamath Falls, OR 97603-2111

Phone

(541) 885-6312

NPI assigned

Nov 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1972933182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ARNOLD AVE",
            "address_2": "STE 15",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976032111",
            "telephone_number": "541-885-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ARNOLD AVE",
            "address_2": "STE 15",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976032111",
            "telephone_number": "541-885-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSEN",
        "first_name": "BRANDY",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hall
• Zachary Hall
• Jan Hallock, D.O.
• Sarah Halstead, MSN, RN, CPNP-PC
• Barry Michael Halton, PSS
• Kimberly M Halvorsen, MA, QMHA
• Anthony M Hamilton, PA
• Ellen Marie Hamilton
• Molly Hamilton, BA
• Serena Lynn Hamilton, MA

• Independent Duty Medical Technicians in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Independent Duty Medical Technicians in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.