Jennifer L. Kalata, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA176991 Issued in OR

Practice address

2911 Tennyson Ave Ste 201
Eugene, OR 97408

Phone

(541) 844-1495

Fax

(541) 844-1492

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Kalata Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Willamette Community Health Solutions

  • Diabetes Educator Registered Nurse
  • Eugene, OR
  • NPI 1255379566
  Medicare reassignment
• Willamette Community Health Solutions

  • Physical Therapist
  • Eugene, OR
  • NPI 1649431636
  NPD
• Willamette Community Health Solutions

  • Specialist
  • Eugene, OR
  • NPI 1477714467
  NPD (past)
• Willamette Community Health Solutions

  • Family Nurse Practitioner
  • Eugene, OR
  • NPI 1588919229
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1962515213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TENNYSON AVE STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084393",
            "telephone_number": "541-844-1495",
            "fax_number": "541-844-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 TENNYSON AVE STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97408",
            "telephone_number": "541-844-1495",
            "fax_number": "541-844-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALATA",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA176991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KALATA",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anya Kaiser
• Austin Elliot Kaiser
• Bethany Kaiser, M.A.
• Matthew J Kaiser, M.D.
• Matthew William Kaiser, PHARMD
• Chelsea Kaldahl, LMT
• Tara Marie Kaldahl
• Sariantra Ree Kali, LAC, DAOM
• Alexander Wesley Kallinsky
• Roger Kalman, M.A., QMHP

• Medical Physician Assistant in Eugene, OR
• Providers in Eugene, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.

Verify at the official NPI Registry.