KIMBERLY ANN ORTA NP NPI 1942574488

NPI Information

NPI: 1942574488
Provider Name: KIMBERLY ANN ORTA, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
824 PINE ST
MOUNT SHASTA, CA
ZIP 96067
Phone: (530) 926-4528
Get Directions

Kimberly Ann Orta, NP is a family nurse practitioner in Mount Shasta, CA. Kimberly Ann Orta, NP NPI is 1942574488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

824 PINE ST
MOUNT SHASTA, CA
ZIP 96067-137
Phone: (530) 926-4528

The NPI 1942574488 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2012 and was last updated on 4/15/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		604263	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	201705838NP-PP	OREGON	No
3	363LF0000X	Nurse Practitioner	Family	95007009	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1487696985	OTHER	OREGON	CURRY GENERAL HOSPITAL'S NPI
2	500730808	MEDICAID	OREGON
3	1083656367	OTHER	OREGON	CURRY MEDICAL CENTER'S NPI

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: 5/5/2024

NPI Synchronization or Removal

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