Active NPI
Ramatou Kargbo, NP
- Psychiatric/Mental Health Nurse Practitioner
- Pendleton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024187112
- Practice address
- 2203 SW Court PL
Pendleton, OR 97801-1896 - Phone
- (505) 440-5761
- NPI assigned
- May 22, 2023
- Last updated
- Dec 13, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10015189 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024187112 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanusi Behavioral Health Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Community Counseling Solutions | Current | Accepting new patients | |
| Rahel G. Yirga MD PC | Current | Accepting new patients | |
| Community Counseling Solutions | Current | 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.
-
dba Grant County Health Department
- Rural Health Clinic/Center
- John Day, OR
- NPI 1487992665
-
- Psychiatric/Mental Health Nurse Practitioner
- Salem, OR
- NPI 1114734837
-
- Addiction (Substance Use Disorder) Counselor
- Heppner, OR
- NPI 1578501771
-
- Family Nurse Practitioner
- John Day, OR
- NPI 1629009022
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.