DESIRAE DAWN RATHBONE AG-ACNP-BC NPI 1720721392

NPI Information

  • NPI: 1720721392
  • Provider Name: DESIRAE DAWN RATHBONE, AG-ACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2865 DAGGETT AVE
    KLAMATH FALLS, OR
    ZIP 97601
  • Phone: (541) 274-6101

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NPI Details

Desirae Dawn Rathbone, AG-ACNP-BC is an acute care nurse practitioner in Klamath Falls, OR with 4 years of experience. Desirae Dawn Rathbone, AG-ACNP-BC NPI is 1720721392. 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:

2865 DAGGETT AVE
KLAMATH FALLS, OR
ZIP 97601-106
Phone: (541) 274-6101
Fax: (541) 274-6106

The NPI 1720721392 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, omalizumab, 5 mg (HCPCS:J2357)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)

The enumeration date for this NPI number is 4/20/2022 and was last updated on 2/10/2023.

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
1363LA2100XNurse PractitionerAcute Care10002748OREGONYes
2363LA2100XNurse PractitionerAcute Care273896ARIZONANo

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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