Active NPI
Roberta A Kaiser, NP
- Family Nurse Practitioner
- Talent, OR
National Provider Identifier
1386733343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 00039271
- Practice address
- 312 E Main St
Talent, OR 97540-9752 - Phone
- (541) 535-9108
- NPI assigned
- Oct 11, 2006
- Last updated
- May 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 00039271 | OR | Primary |
Addresses
Primary practice location
312 E Main St
Talent, OR 97540-9752
Mailing address
PO Box 422
Talent, OR 97540-0422
Phone (541) 535-9108
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ROOOOXCBBF | Other | OR | MEDICARE |
| 002052000 | Other | OR | REGENCE BC |
| 077701 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00039271 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen P Joslin NP | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Talent, OR
- NPI 1326231192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1386733343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 422",
"city": "TALENT",
"state": "OR",
"postal_code": "975400422",
"telephone_number": "541-535-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E MAIN ST",
"city": "TALENT",
"state": "OR",
"postal_code": "975409752",
"telephone_number": "541-535-9108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "ROBERTA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "00039271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "ROOOOXCBBF",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BC",
"identifier": "002052000",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "077701",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Talent, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.