Active NPI
Kimberly Ann Orta, NP
- Family Nurse Practitioner
- Brookings, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007009
- Practice address
- 500 5TH St
Brookings, OR 97415-9702 - Phone
- (541) 412-2000
- Fax
- (541) 412-2080
- NPI assigned
- Mar 1, 2012
- Last updated
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201705838NP-PP | OR | |
| Family Nurse Practitioner | 363LF0000X | 95007009 | CA | Primary |
| Registered Nurse | 163W00000X | 604263 | CA |
Addresses
Primary practice location
500 5TH St
Brookings, OR 97415-9702
Mailing address
500 5TH St
Brookings, OR 97415-9702
Phone (541) 412-2000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942574488 | Medicaid | CA | |
| 1487696985 | Other | OR | CURRY GENERAL HOSPITAL'S NPI |
| 1083656367 | Other | OR | CURRY MEDICAL CENTER'S NPI |
| 500730808 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 604263 | CA | MD | Registered Nurse |
| 95007009 | CA | MD | Family Nurse Practitioner |
| 201705838NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCloud Healthcare Clinic, Inc. | Current | Accepting new patients | |
| McCloud Healthcare Clinic, Inc. | Current | Accepting new patients | |
| Tahoe Carson Valley Medical Group Inc | Current | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Curry Health District | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
4309 Stagecoach Rd
Dunsmuir, CA 96025
Phone (530) 235-2205
824 Pine St
Mount Shasta, CA 96067
Phone (530) 926-4528
1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
2201 South Ave
South Lake Tahoe, CA 96150
Phone (530) 543-5550
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shasta Cascade Health Centers
- Federally Qualified Health Center (FQHC)
- McCloud, CA
- NPI 1164428488
-
- Family Medicine Physician
- South Lake Tahoe, CA
- NPI 1508865528
-
dba Curry General Hospital
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
-
- Dentist
- Dunsmuir, CA
- NPI 1457059768
-
dba Lower Columbia Hospice
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
-
dba Columbia Memorial Hospital
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
-
dba Curry Family Medical
- Rural Health Clinic/Center
- Port Orford, OR
- NPI 1811939093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1942574488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 5TH ST",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159702",
"telephone_number": "541-412-2000",
"fax_number": "714-707-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 5TH ST",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159702",
"telephone_number": "541-412-2000",
"fax_number": "541-412-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTA",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201705838NP-PP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95007009",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "604263",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942574488",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CURRY GENERAL HOSPITAL'S NPI",
"identifier": "1487696985",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CURRY MEDICAL CENTER'S NPI",
"identifier": "1083656367",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500730808",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.