Jasudha Ranabhat, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

202112438NP-PP Issued in OR

Practice address

12045 SE Stanley Ave
Milwaukie, OR 97222-2938

Phone

(503) 659-2323

NPI assigned

Dec 9, 2021

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

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bristol Advanced Illness Management - Oregon, L.L.C.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Springfield, OR
  • NPI 1083364749
  Medicare reassignment NPD
• Marquis Clinical Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Milwaukie, OR
  • NPI 1710427810

  Gerontology

  Medicare reassignment NPD
• Willamette Valley Hospice Inc

  • Community Based Hospice Care Agency
  • Salem, OR
  • NPI 1093715070
  Medicare reassignment
• Daiya Healthcare PLLC

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1477027381
  NPD

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1619636388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16442 SW 132ND TER",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243080",
            "telephone_number": "503-473-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12045 SE STANLEY AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222938",
            "telephone_number": "503-659-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANABHAT",
        "first_name": "JASUDHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "202112438NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainmere Treatment Home LLC
• Sapna Ramanan, OTR
• Hunter Michelle Ramer, CSWA
• Chelsea Ramirez
• Mario Ramos
• Benjamin D Randolph, CADCIII
• Jennifer Randolph, CADC-II, CIP, CAI-II
• Keaton Randolph
• Renee' Lorena Raschke, BS, QMHA, CADC 1,
• Carol Rasmusen

• Gerontology Nurse Practitioner in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Gerontology Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.