Guadalupe Clementina Gabba, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201391918NP-PP Issued in OR

Practice address

6400 SE Lake Rd Ste 155
Portland, OR 97222-2137

Phone

(971) 368-9292

Fax

(503) 917-4971

NPI assigned

Mar 29, 2011

Last updated

Feb 10, 2023By the provider in NPPES

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

Enrolled in OR, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northwest IV LLCGroup PAC ID 7214277383, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21276/brand/1/csg/1/fhir/r4

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

• Northwest IV, LLC

  dba Evolve Health

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1023596541
  Medicare reassignment Care Compare group NPD
• County of Jackson

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medford, OR
  • NPI 1710933379
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527

  WA

  Medicare reassignment NPD
• Active Recovery TMS PLLC

  dba Active Path Mental Health

  • Psychiatry Physician
  • Clackamas, OR
  • NPI 1881287787

  WA

  Medicare reassignment
• Gabba, N.P., Psychiatric Services

  • Adult Mental Health Clinic/Center
  • West Linn, OR
  • NPI 1659857548
  NPD (past) Authorized official
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD
• Northwest IV, LLC

  dba Evolve Health

  • Family Nurse Practitioner
  • Beaverton, OR
  • NPI 1811600471
  NPD
• Clear Choice Dermatology

  dba The Skin Docs

  • Dermatology Physician
  • The Dalles, OR
  • NPI 1891327185
  NPD (past)
• Deep Insight PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
  • NPI 1316723711
  NPD (past)
• Northwest IV, LLC

  dba Evolve Health

  • Family Nurse Practitioner
  • Bend, OR
  • NPI 1225619703
  NPD (past)
• Well Life Family Medicine, LLC

  dba Willamette Valley Weight Loss, LLC

  • Clinic/Center
  • Salem, OR
  • NPI 1760998355
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1063701126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 430",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222129",
            "telephone_number": "971-368-9292",
            "fax_number": "503-917-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 155",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222137",
            "telephone_number": "971-368-9292",
            "fax_number": "503-917-4971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16100 NW Cornell Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970068104",
            "country_code": "US",
            "telephone_number": "971-358-9292",
            "fax_number": "503-917-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABBA",
        "first_name": "GUADALUPE",
        "middle_name": "CLEMENTINA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201391918NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Alice Fyfield, LPT
• G Schnepper DDS Ms - Oregon PC
• G&H Healthcare Inc
• G&O Care Solutions LLC
• Gary Dean Gaasland, QMHP
• Charles Gabbert
• Gayle Lynn Gabbert
• Briana Gabel
• Cody Wright Gabel, M.A.
• Donald Gabel Jr., PHARM.D, BCPS, BCCP

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.