Individual provider Active NPI

Christina Stair Keener, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1467513077
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201800971NP-PP Issued in OR
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500793141MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040611001455 MT Practitioner - Nurse Practitioner 6204819980 Reassigns benefits to 1 organization
Practice locations: Helena, MT
I20211208003275 OR Practitioner - Nurse Practitioner 6204819980 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pureview Health Center CurrentSince Jul 6, 2015 Accepting new patients
Cascadia Health CurrentSince Oct 4, 2021 Accepting new patients
Cascadia Health CurrentSince Oct 4, 2021 Accepting new patients
Pureview Health Center Current Accepting new patients
Pureview Health Center CurrentSince Jul 6, 2015 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.