Individual provider Active NPI

Sarah Kimberly Bastida, FNP

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1366064545
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10008329 Issued in OR
Practice address
995 Willagillespie Rd Ste 300
Eugene, OR 97401-2153
Phone
(541) 228-9700
NPI assigned
May 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10008329 OR Primary

Addresses

Primary practice location

995 Willagillespie Rd Ste 300
Eugene, OR 97401-2153

Mailing address

791 W Broadway
Eugene, OR 97402-5217
Phone (541) 870-9413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230714001749 OR Practitioner - Nurse Practitioner 6204296858 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10008329ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Family Medicine Associates, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

995 Willagillespie Rd
Ste 300
Eugene, OR 97401
Phone (541) 228-9700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1366064545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 W BROADWAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025217",
            "telephone_number": "541-870-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 WILLAGILLESPIE RD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012153",
            "telephone_number": "541-228-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIDA",
        "first_name": "SARAH",
        "middle_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "10008329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.