Kathy Gibbens, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

094000296RN Issued in OR

Practice address

9432 SW 164TH Ave
Beaverton, OR 97007-9415

Phone

(971) 506-6870

Fax

(503) 642-9434

NPI assigned

Jan 5, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Surgical Assistant Services, Inc.

  • Registered Nurse First Assistant
  • Beaverton, OR
  • NPI 1548453558
  NPD (past) Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221868800000",
    "number": "1306994629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2264",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970752264",
            "telephone_number": "971-506-6870",
            "fax_number": "503-642-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9432 SW 164TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079415",
            "telephone_number": "971-506-6870",
            "fax_number": "503-642-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBENS",
        "first_name": "KATHY",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OR",
            "license": "094000296RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE HEALTH PLANS",
            "identifier": "341686",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Michael Germer, QMHA
• Bridget Gessler, PMHNP
• Josie Geyman
• Mariam Ghabry
• Mohamad Husein Ghahramany, DC
• Ryan Gibbons, LMT
• Gibbs Natural Healing Centre, PC
• Alyssa Giesbers
• Debie Kay Gieszler-Asgari, EFDA
• Dana Gieszler, MS, NCC, LPC INTERN

• Registered Nurse First Assistant in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Registered Nurse First Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.