Individual provider Active NPI

Dana A. Brannon, ARNP

  • Family Nurse Practitioner
  • Aberdeen, WA
National Provider Identifier
1386732014
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201705445NP-PP Issued in OR
Practice address
1020 Anderson Dr
Suite 203
Aberdeen, WA 98520-1055
Phone
(360) 533-6063
Fax
(360) 533-2204
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30004226 WA
Family Nurse Practitioner 363LF0000X 201705445NP-PP OR Primary

Addresses

Primary practice location

1020 Anderson Dr
Suite 203
Aberdeen, WA 98520-1055

Mailing address

PO Box 9
Heppner, OR 97836-0009
Phone (541) 676-9133

Other identifiers 1

IdentifierTypeStateIssuer
9629130MedicaidWA

Other names 1

  • Dana A. Kehr Former name

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
I20171211000429 OR Practitioner - Nurse Practitioner 8325140957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Washington School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling Solutions 31 clinicians

Practice addresses (Care Compare)

528 E Main St E
Grant County Health Department
John Day, OR 97845-1289
Phone (541) 575-0429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201705445NP-PPORMDFamily Nurse Practitioner
AP30004226WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Washington Health Network CurrentSince Dec 15, 2021 Accepting new patients
Grant County Family Current Accepting new patients
Community Counseling Solutions CurrentSince Nov 14, 2022 Accepting new patients
Community Counseling Solutions CurrentSince Nov 14, 2022 Accepting new patients

Locations

435 E Newport Ave
Hermiston, OR 97838
Phone (541) 564-9390

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

715 SW Dorion Ave
Pendleton, OR 97801
Phone (541) 429-8800

Organizations & group practices 4

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1386732014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "HEPPNER",
            "state": "OR",
            "postal_code": "978360009",
            "telephone_number": "541-676-9133",
            "fax_number": "541-676-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ANDERSON DR",
            "address_2": "SUITE 203",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201055",
            "telephone_number": "360-533-6063",
            "fax_number": "360-533-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "DANA",
        "middle_name": "A.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30004226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201705445NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9629130",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "KEHR",
            "middle_name": "A.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.