| Kimberly Ann Orta, NP | |
|
824 Pine St, Mount Shasta, CA 96067-2137 | |
| (530) 926-4528 | |
| Not Available |
| Full Name | Kimberly Ann Orta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 824 Pine St, Mount Shasta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942574488 | NPI | - | NPPES |
| 1083656367 | Other | OR | CURRY MEDICAL CENTER'S NPI |
| 1487696985 | Other | OR | CURRY GENERAL HOSPITAL'S NPI |
| 500730808 | Medicaid | OR | |
| 1942574488 | Medicaid | CA |
| Entity Name | Mccloud Healthcare Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164428488 PECOS PAC ID: 3779494919 Enrollment ID: O20031118001091 |
| Entity Name | Tahoe Carson Valley Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Ann Orta, NP 116 W Minnesota Ave, Mccloud, CA 96057-0601 Ph: (530) 964-2389 | Kimberly Ann Orta, NP 824 Pine St, Mount Shasta, CA 96067-2137 Ph: (530) 926-4528 |
Mrs. Barbra Lewis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Old Mccloud Rd, Mount Shasta, CA 96067 Phone: 530-926-5100 Fax: 530-926-1859 | |
Mrs. Rebecca S Boehme, RN FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Pine St, Mount Shasta, CA 96067 Phone: 530-926-4556 Fax: 530-926-4532 | |
Julie Fadness, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Old Mccloud Rd, Mount Shasta, CA 96067 Phone: 530-926-5100 |