Individual provider Active NPI

Ramatou Kargbo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pendleton, OR
National Provider Identifier
1336831031
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024187112 Issued in VA
Practice address
2203 SW Court PL
Pendleton, OR 97801-1896
Phone
(505) 440-5761
NPI assigned
May 22, 2023
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10015189 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024187112 VA Primary

Addresses

Primary practice location

2203 SW Court PL
Pendleton, OR 97801-1896

Mailing address

2203 SW Court PL
Pendleton, OR 97801-1896
Phone (505) 440-5761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240312001737 OR Practitioner - Nurse Practitioner 0648616755 Reassigns benefits to 1 organization
I20240809001080 DC Practitioner - Nurse Practitioner 0648616755 Reassigns benefits to 1 organization
I20241010002033 VA Practitioner - Nurse Practitioner 0648616755 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
Telehealth
Offers telehealth services
Group practices
Rahel G. Yirga MD PCGroup PAC ID 0648335372, 25 clinicians
Community Counseling SolutionsGroup PAC ID 0446484885, 31 clinicians

Practice addresses (Care Compare)

Falls Church, VA 22042
Phone (703) 425-9765

20 Pidgeon Hill Dr
Suite 208
Sterling, VA 20165-6134
Phone (703) 539-6029

550 W Sperry St
Heppner, OR 97836-2060
Phone (541) 676-9161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10015189ORMDPsychiatric/Mental Health Nurse Practitioner
0024187112VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanusi Behavioral Health Services LLC Psychiatric/Mental Health CurrentSince Oct 27, 2024 Accepting new patients
Community Counseling Solutions CurrentSince Jan 13, 2024 Accepting new patients
Rahel G. Yirga MD PC CurrentSince Jun 9, 2024 Accepting new patients
Community Counseling Solutions CurrentSince Jan 13, 2024 Accepting new patients
Grant County Current Accepting new patients

Locations

528 E Main St
Ste E
John Day, OR 97845
Phone (541) 575-0429

331 SE 2nd St
Pendleton, OR 97801
Phone (541) 276-6207

2355 State St
Ste 101
Salem, OR 97301
Phone (503) 383-9039

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

20 Pidgeon Hill Dr
Ste 208
Sterling, VA 20165
Phone (703) 539-6029

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1336831031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 SW COURT PL",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011896",
            "telephone_number": "505-440-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 SW COURT PL",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011896",
            "telephone_number": "505-440-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARGBO",
        "first_name": "RAMATOU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10015189",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.