Individual provider Active NPI

Katherine Amman

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1457728073
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
548 SW 13TH St
Bend, OR 97702-3184
Phone
(541) 388-8459
Fax
(541) 388-8116
NPI assigned
Aug 31, 2015
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

548 SW 13TH St
Bend, OR 97702-3184

Mailing address

1333 NW 9TH St
Prineville, OR 97754-1482
Phone (541) 447-2631

Other names 1

  • Katherine Gabel 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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210421001052 OR Practitioner - Clinical Social Worker 2062820590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rimrock Trails Treatment ServicesGroup PAC ID 5799107629, 9 clinicians

Practice addresses (Care Compare)

215 SW 7TH St
Redmond, OR 97756-2113
Phone (541) 388-8459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rimrock Trails Treatment Services CurrentSince Apr 1, 2024 Accepting new patients
The Redmond Family Medicine Center CurrentSince Apr 1, 2024 Accepting new patients
Bright Horizons Psychiatric Group LLC PastSince Mar 6, 2022 Accepting new patients

Locations

548 SW 13th St
Bend, OR 97702
Phone (541) 388-8459

1333 NW 9th St
Prineville, OR 97754
Phone (541) 388-8459

215 SW 7th St
Redmond, OR 97756
Phone (541) 316-2277

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1457728073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 NW 9TH ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541482",
            "telephone_number": "541-447-2631",
            "fax_number": "541-447-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 SW 13TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023184",
            "telephone_number": "541-388-8459",
            "fax_number": "541-388-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMAN",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "GABEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.