Individual provider Active NPI

Kenneth Downs, FNP

  • Family Nurse Practitioner
  • Klamath Falls, OR
National Provider Identifier
1104547710
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10031759 Issued in OR
Practice address
3001 Daggett Ave Ste 101
Klamath Falls, OR 97601-1126
Phone
(541) 884-6233
NPI assigned
Sep 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10031759 OR Primary
Family Nurse Practitioner 363LF0000X 11021175 FL

Addresses

Primary practice location

3001 Daggett Ave Ste 101
Klamath Falls, OR 97601-1126

Mailing address

3001 Daggett Ave
Klamath Falls, OR 97601-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR2 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

Enrollment IDStateProvider typePAC IDDetails
I20221020003295 FL Practitioner - Nurse Practitioner 9739555434 Reassigns benefits to 1 organization
I20241106003737 OR Practitioner - Nurse Practitioner 9739555434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

3001 Daggett Ave
Suite 101
Klamath Falls, OR 97601-1126
Phone (541) 274-8930

Hospital & facility affiliations

  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050
  • Modoc Medical Center Hospital, Alturas, CA, CCN 051330
  • Lake District Hospital Hospital, Lakeview, OR, CCN 381309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11021175FLMDFamily Nurse Practitioner
10031759ORMDFamily Nurse Practitioner

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Cardiothoracic & Vascular Surgical Associates PA CurrentSince Dec 1, 2022 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Nov 18, 2024 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Nov 18, 2024 Accepting new patients

Locations

1032 Mar Walt Dr
Unit 250
Ft Walton Bch, FL 32547
Phone (850) 682-0032

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627

803 E Dixie Ave
Leesburg, FL 34748
Phone (352) 530-2256

3001 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 851-4800

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

3001 Daggett Ave
Ste 101
Klamath Falls, OR 97601
Phone (541) 274-8930

3001 Daggett Ave
Ste 1
Klamath Falls, OR 97601

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1104547710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DAGGETT AVE STE 101",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011126",
            "telephone_number": "541-884-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "KENNETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10031759",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.