NPIMap

Individual provider Active NPI

Kayla Freitas, FNP-C

  • Family Nurse Practitioner
  • Corvallis, OR
National Provider Identifier
1972646271
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202008620NP-PP Issued in OR
Practice address
3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone
(541) 754-1282
NPI assigned
Feb 15, 2007
Reactivated
Oct 30, 2020
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202008620NP-PP OR Primary

Addresses

Primary practice location

3680 NW Samaritan Dr
Corvallis, OR 97330-3737

Mailing address

444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1282

Other practice location 1

3400 Cooperative Way
Lebanon, OR 97355-4063
Phone (541) 666-3305

Other practice location 2

5 Centerpointe Dr
Lake Oswego, OR 97035-8651
Phone (503) 603-7139

Other practice location 3

981 NW Spruce Ave
Corvallis, OR 97330-2111
Phone (541) 758-0766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207002244 OR Practitioner - Nurse Practitioner 4688084585 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Corvallis Clinic P CGroup PAC ID 1456244540, 128 clinicians

Practice addresses (Care Compare)

1705 Waverly Dr SE
Suite 100
Albany, OR 97322-6952
Phone (547) 967-8221

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC Current Accepting new patients
Valley Clinics CurrentSince Jan 5, 2024 Accepting new patients
Icco, LLC CurrentSince Dec 12, 2022 Accepting new patients
The Corvallis Clinic P C CurrentSince Jul 1, 2025 Accepting new patients
The Corvallis Clinic P C CurrentSince Jul 1, 2025 Accepting new patients
Corvallis Internal Medicine, PC CurrentSince Jan 5, 2024 Accepting new patients
Icco LLC CurrentSince Dec 12, 2022 Accepting new patients

Locations

1705 Waverly Dr SE
Albany, OR 97322
Phone (541) 248-2023

1705 Waverly Dr SE
Ste 100
Albany, OR 97322
Phone (547) 967-8221

3388 Pacific Blvd SW
Albany, OR 97321
Phone (541) 758-0766

3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282

444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256

981 NW Spruce Ave
Corvallis, OR 97330
Phone (541) 758-0766

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

1755 SW Baker St
McMinnville, OR 97128
Phone (971) 900-4522

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1972646271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303745",
            "telephone_number": "541-754-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 NW SAMARITAN DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303737",
            "telephone_number": "541-754-1282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Cooperative Way",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973554063",
            "country_code": "US",
            "telephone_number": "541-666-3305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Centerpointe Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970358651",
            "country_code": "US",
            "telephone_number": "503-603-7139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "981 NW Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973302111",
            "country_code": "US",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "KAYLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "deactivation_date": "2020-10-02",
        "reactivation_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202008620NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.