Kelsey R Thomas

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

46314 Timine Way
Pendleton, OR 97801

Phone

(541) 966-9830

Fax

(541) 278-7568

NPI assigned

May 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey R Hasenbank Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Yellowhawk Tribal Health Center

  • Clinic/Center
  • Pendleton, OR
  • NPI 1346283488
  NPD (past)
• Assured Imaging Womens Wellness of Washington, LLC

  • Diagnostic Radiology Physician
  • Tukwila, WA
  • NPI 1588982060
  NPD (past)

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1457708224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73265 CONFEDERATED WAY",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978019099",
            "telephone_number": "541-966-9830",
            "fax_number": "541-278-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46314 TIMINE WAY",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "97801",
            "telephone_number": "541-966-9830",
            "fax_number": "541-278-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KELSEY",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HASENBANK",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holly R Thau, LCSW
• Roderick Edward Theis II, MSW, LCSW
• Fred H Thomas III, LPN
• Gary Thomas, MS
• John Earl Thomas, QMHA
• Kimberly Kerry Thomas, CPHT
• Tiffany Thomas
• Trinity Thomas, M.S. CF-SLP
• Kristen Thompson-Graber
• Jshon Camille Thompson

• Nurse's Aide in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Nurse's Aide in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.