Individual provider Active NPI

Anthony Pabst, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tigard, OR
National Provider Identifier
1942525761
Registry record updated Jul 23, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Feb 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201150092NP Issued in OR
Practice address
7105 SW Varns St Ste 270
Tigard, OR 97223-8173
Phone
(503) 389-1500
Fax
(800) 974-5025
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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 201150092NP OR Primary

Addresses

Primary practice location

7105 SW Varns St Ste 270
Tigard, OR 97223-8173

Mailing address

7105 SW Varns St Ste 270
Tigard, OR 97223-8173
Phone (503) 389-1500

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
201150092NPORMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1942525761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 SW VARNS ST STE 270",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238173",
            "telephone_number": "503-389-1500",
            "fax_number": "800-974-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 SW VARNS ST STE 270",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238173",
            "telephone_number": "503-389-1500",
            "fax_number": "800-974-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABST",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201150092NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.