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HEALTH EDUCATION AND RESOURCE TECHNOLOGY NPI 1497290803


NPI Information

NPI: 1497290803
Provider Name: HEALTH EDUCATION AND RESOURCE TECHNOLOGY

Former Legal Business Name: HEART CLINIC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 05D0972819

Address:
850 INDUSTRIAL ST
100
REDDING, CA
ZIP 96002
Phone: (530) 244-2213
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HEALTH EDUCATION AND RESOURCE TECHNOLOGY is a family nurse practitioner in Redding, CA. HEALTH EDUCATION AND RESOURCE TECHNOLOGY NPI is 1497290803. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Heart Clinic.

The provider's business location address is:

850 INDUSTRIAL ST
100
REDDING, CA
ZIP 96002-501
Phone: (530) 244-2213
Fax: (530) 244-2491

The provider's authorized official is Kelie A. Mercier .
The authorized official title is Family Nurse Practitioner/owner and has the following contact phone number (530) 244-2213.

The CLIA number assigned to this NPI record is 05D0972819 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2016 and was last updated on 12/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily18172CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11942457676MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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