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NATASHA SUE MCKIBBEN
NPI 1437751799
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since November 12, 2020PECOS Enrolled
2730 S MOODY AVE, PORTLAND, OR 97201(503) 494-8428 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Natasha Sue Mckibben NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATASHA SUE MCKIBBEN (NPI 1437751799) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437751799
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNATASHA SUE MCKIBBEN
Location Address2730 S MOODY AVEPortland, OR 97201-5042
Mailing Address2730 S Moody AvePortland, OR 97201-5042
Phone(503) 494-8428
Sole ProprietorNo
Enumeration DateNovember 12, 2020
NPPES CertifiedNovember 12, 2020
✔ NPI 1437751799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2730 S MOODY AVE, Portland, OR 97201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natasha Sue Mckibben is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ESHA MUKHERJEE MSD
Dentist (Prosthodontics)
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (502) 531-3763
DANIEL SCOTT KOSKENMAKI
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
SARHA ELENA RUSS
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
MARK PUSUNG
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
KATHERINE KELLY FOSSETTA PHYSICIAN ASSISTANT
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-9645
LAT WIN
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
LAUREN THOMPSON
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8311
KAYLA MARIE RORVIG
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Natasha Mckibben's NPI number?

The NPI number for Natasha Mckibben is 1437751799. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Natasha Mckibben located?

Natasha Mckibben practices at 2730 S Moody Ave, Portland, OR 97201. The listed phone number is (503) 494-8428.

What is Natasha Mckibben's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Natasha Mckibben enrolled in Medicare?

Yes. Natasha Mckibben is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Natasha Mckibben was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.