NPIMap

Organization Active NPI

Oregon Psych NP, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1760144166
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OREGON PSYCH NP, LLC
Practice address
1569 SW Nancy Way Ste 2
Bend, OR 97702-3234
Phone
(541) 382-1395
Fax
(541) 382-6576
NPI assigned
Oct 13, 2021
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
OREGON PSYCH NP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Kimberly Sue Butler, PMHNPNPI 1578934535
Title
Managing Member
Phone
(541) 382-1395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1569 SW Nancy Way Ste 2
Bend, OR 97702-3234

Mailing address

PO Box 5264
Bend, OR 97708-5264
Phone (503) 853-9356

Other names 2

  • Kimberly Sue Butler Other name
  • Oregon Psych NP, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.bendpsychiatry.com

National Provider Directory

National Provider Directory
Part of
Oregon Psych NP LLC

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1760144166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5264",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977085264",
            "telephone_number": "503-853-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 SW NANCY WAY STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023234",
            "telephone_number": "541-382-1395",
            "fax_number": "541-382-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON PSYCH NP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OREGON PSYCH NP, LLC",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "541-382-1395",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.bendpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "339 SW Century Dr Ste 101",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977021199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kimberly Sue Butler",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kimberly Sue Butler",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Oregon Psych NP, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.