Active NPI
Kristina Marie Uehlin, PA-C
- Medical Physician Assistant
- Newport, OR
National Provider Identifier
1265612568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA01294
- Practice address
- 1010 SW Coast Hwy Ste 201
Newport, OR 97365-5240 - Phone
- (541) 265-8816
- Fax
- (541) 265-3890
- NPI assigned
- Nov 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA01294 | OR | Primary |
Addresses
Primary practice location
1010 SW Coast Hwy Ste 201
Newport, OR 97365-5240
Mailing address
1010 SW Coast Hwy Ste 201
Newport, OR 97365-5240
Phone (541) 265-8816
Other practice location 1
180 Ford Rd
John Day, OR 97845-1088
Phone (541) 575-0404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA01294 | Other | OR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01294 | OR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J Bachman P T PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Baker Valley Physical Therapy
- Physical Therapist
- Baker City, OR
- NPI 1336274273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1265612568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 SW COAST HWY STE 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 HWY STE 201",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973655240",
"telephone_number": "541-265-8816",
"fax_number": "541-265-3890"
}
],
"practiceLocations": [
{
"address_1": "180 Ford Rd",
"address_purpose": "LOCATION",
"city": "John Day",
"state": "OR",
"postal_code": "978451088",
"country_code": "US",
"telephone_number": "541-575-0404",
"fax_number": "541-575-1124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UEHLIN",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA01294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA01294",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.