Active NPI
Christina Stair Keener, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201800971NP-PP
- Practice address
- 421 SW 5TH Ave
Portland, OR 97204-2205 - Phone
- (503) 238-0769
- NPI assigned
- Dec 13, 2006
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201800971NP-PP | OR | Primary |
Addresses
Primary practice location
421 SW 5TH Ave
Portland, OR 97204-2205
Mailing address
PO Box 8459
Portland, OR 97207-8459
Phone (503) 238-0769
Other practice location 1
3036 NE Mlk Jr Blvd
Portland, OR 97212-3053
Phone (503) 283-3763
Other practice location 2
1825 NE Glisan St
Portland, OR 97232-2844
Phone (503) 963-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500793141 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Portland, OR 97207
PO Box
Suite 8459
Portland, OR 97207-8459
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pureview Health Center | Current | Accepting new patients | |
| Cascadia Health | Current | Accepting new patients | |
| Cascadia Health | Current | Accepting new patients | |
| Pureview Health Center | Current | Accepting new patients | |
| Pureview Health Center | Current | Accepting new patients |
Locations
1930 9th Ave
Helena, MT 59601
Phone (406) 457-8905
1825 NE Glisan St
Portland, OR 97232
Phone (503) 963-7676
707 NW Everett St
Portland, OR 97209
Phone (503) 222-4906
847 NE 19th Ave
Ste 100
Portland, OR 97232
Phone (503) 552-6203
3036 NE Mlk Jr Blvd
Portland, OR 97212
Phone (503) 283-3763
Interoperability endpoints
- ckeener712399@direct.ochin.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1336196401
-
- Federally Qualified Health Center (FQHC)
- Helena, MT
- NPI 1740390756
-
- Primary Care Clinic/Center
- Portland, OR
- NPI 1144722935
-
- Federally Qualified Health Center (FQHC)
- Lincoln, MT
- NPI 1427230226
-
- Federally Qualified Health Center (FQHC)
- Helena, MT
- NPI 1831916659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1467513077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8459",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972078459",
"telephone_number": "503-238-0769",
"fax_number": "503-235-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 SW 5TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042205",
"telephone_number": "503-238-0769"
}
],
"practiceLocations": [
{
"address_1": "3036 NE Mlk Jr Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972123053",
"country_code": "US",
"telephone_number": "503-283-3763",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1825 NE Glisan St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972322844",
"country_code": "US",
"telephone_number": "503-963-7676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEENER",
"first_name": "CHRISTINA",
"middle_name": "STAIR",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2023-03-07",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201800971NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500793141",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.