Individual provider Active NPI

Natalia Anita Christina Hidden, FNP-C

  • Nurse Practitioner
  • Klamath Falls, OR
National Provider Identifier
1831640317
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202009008NP-PP Issued in OR
Practice address
2200 Bryant Williams Dr Ste 5
Klamath Falls, OR 97601-1121
Phone
(541) 274-8910
Fax
(541) 274-8915
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209016297 IL
Nurse Practitioner 363L00000X 202009008NP-PP OR Primary

Addresses

Primary practice location

2200 Bryant Williams Dr Ste 5
Klamath Falls, OR 97601-1121

Mailing address

PO Box 2120
Portland, OR 97208-2120
Phone (541) 274-6211

Other names 1

  • Natalia Anita Christina Hernandez 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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201222002794 OR Practitioner - Nurse Practitioner 0648553289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

2200 Bryant Williams Dr
Suite 6
Klamath Falls, OR 97601-1121
Phone (541) 274-2750

Hospital & facility affiliations

  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050
  • Lake District Hospital Hospital, Lakeview, OR, CCN 381309
  • Modoc Medical Center Hospital, Alturas, CA, CCN 051330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209016297ILMDNurse Practitioner
202009008NP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Dec 14, 2020 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Dec 14, 2020 Accepting new patients

Locations

2200 Bryant Williams Dr
Ste 6
Klamath Falls, OR 97601
Phone (541) 274-2750

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2200 Bryant Williams Dr
Ste 5
Klamath Falls, OR 97601
Phone (541) 274-8910

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1831640317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082120",
            "telephone_number": "541-274-6211",
            "fax_number": "541-274-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BRYANT WILLIAMS DR STE 5",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011121",
            "telephone_number": "541-274-8910",
            "fax_number": "541-274-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDDEN",
        "first_name": "NATALIA",
        "middle_name": "ANITA CHRISTINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016297",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202009008NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIA",
            "last_name": "HERNANDEZ",
            "middle_name": "ANITA CHRISTINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.