KELLI RENEE GAFFIELD FNP NPI 1245509090

NPI Information

  • NPI: 1245509090
  • Provider Name: KELLI RENEE GAFFIELD, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 KENNETH FORD DRIVE
    ROSEBURG, OR
    ZIP 97470
  • Phone: (541) 672-9596

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NPI Details

Kelli Renee Gaffield, FNP is a family nurse practitioner in Roseburg, OR. Kelli Renee Gaffield, FNP NPI is 1245509090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 KENNETH FORD DRIVE
ROSEBURG, OR
ZIP 97470-042
Phone: (541) 672-9596
Fax: (541) 464-3519

The NPI 1245509090 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/23/2011 and was last updated on 9/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily201150163NPOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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