Individual provider Active NPI

Pamela Orebaugh

  • Registered Nurse
  • Liberty Lake, WA
National Provider Identifier
1891587739
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00113218 Issued in WA
Practice address
1119 S Mackenzie Beach LN
Liberty Lake, WA 99019-6040
Phone
(509) 389-6557
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00113218 WA Primary

Addresses

Primary practice location

1119 S Mackenzie Beach LN
Liberty Lake, WA 99019-6040

Mailing address

1119 S Mackenzie Beach LN
Liberty Lake, WA 99019-6040
Phone (509) 389-6557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN00113218WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Orebaugh Enterprises LLC Registered Nurse CurrentSince May 25, 2025 Accepting new patients

Organizations & group practices 1

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1891587739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 S MACKENZIE BEACH LN",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196040",
            "telephone_number": "509-389-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 S MACKENZIE BEACH LN",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196040",
            "telephone_number": "509-389-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREBAUGH",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00113218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

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