Individual provider Active NPI

Emma Grace Rattazzi, ARNP, CNM

  • Nurse Practitioner
  • Bend, OR
National Provider Identifier
1437201126
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60282825 Issued in WA
Practice address
2195 NW Shevlin Park Rd
Bend, OR 97703-7102
Phone
(541) 706-3843
Fax
(541) 278-8375
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60282825 WA Primary
Family Nurse Practitioner 363LF0000X 202210296NP-PP OR
Perinatal Nurse Practitioner 363LP1700X AP60282825 WA
Registered Nurse 163W00000X RN60282824 WA

Addresses

Primary practice location

2195 NW Shevlin Park Rd
Bend, OR 97703-7102

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119

Other names 1

  • Mrs. Emma Gensert Thomas Former name

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
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60282824WAMDRegistered Nurse
202210296NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Womens Healthcare Inc Advanced Practice Midwife Past Accepting new patients
Praxis Health LLC PastSince Oct 16, 2022 Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients

Organizations & group practices 3

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1437201126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 NW SHEVLIN PARK RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037102",
            "telephone_number": "541-706-3843",
            "fax_number": "541-278-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTAZZI",
        "first_name": "EMMA",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60282825",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202210296NP-PP",
            "primary": false
        },
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "WA",
            "license": "AP60282825",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60282824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "THOMAS",
            "middle_name": "GENSERT",
            "prefix": "MRS.",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.