Kema Kasalaba, APRN, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

201405292NP-PP Issued in OR

Practice address

1010 SW Coast Highway Suite 201
Newport, OR 97365-5240

Phone

(541) 265-8816

Fax

(541) 265-3890

NPI assigned

May 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DHHS,PHS,Naihs, Gallup Indian Medical Center

  • General Acute Care Hospital
  • Gallup, NM
  • NPI 1225002322

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1023377397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SW COAST HIGHWAY SUITE 201",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655240",
            "telephone_number": "541-265-8816",
            "fax_number": "541-265-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SW COAST HIGHWAY SUITE 201",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655240",
            "telephone_number": "541-265-8816",
            "fax_number": "541-265-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 9th St N",
            "address_purpose": "LOCATION",
            "city": "Virginia",
            "state": "MN",
            "postal_code": "557922325",
            "country_code": "US",
            "telephone_number": "218-748-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASALABA",
        "first_name": "KEMA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9221193",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "3984",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201405292NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Kaczmarek
• Penelope O Kaczmarek, MSW
• Michelle Kalcich
• Cynthia Jane Kampen, RPH
• Victoria Karabanova
• James A Kasanos, BS, CADCI
• Debra A Kauffman Fant, RN, BSN
• Spencer Grant Kaufman
• Kelley Chiropractic Center, LLC
• Lorie Ann Kelley Norton, APRN

• Nurse Practitioner in Newport, OR
• Providers in Newport, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.