BETHANY KINGSBERRY APRN-NP NPI 1770045767

NPI Information

  • NPI: 1770045767
  • Provider Name: BETHANY KINGSBERRY, APRN-NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5050 NE HOYT ST STE 610
    PORTLAND, OR
    ZIP 97213
  • Phone: (503) 467-4761

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NPI Details

Bethany Kingsberry, APRN-NP is a gerontology nurse practitioner in Portland, OR with 6 years of experience. Bethany Kingsberry, APRN-NP NPI is 1770045767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

5050 NE HOYT ST STE 610
PORTLAND, OR
ZIP 97213-985
Phone: (503) 467-4761

The NPI 1770045767 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 4/1/2019 and was last updated on 3/4/2025.

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
1163W00000XRegistered NurseR0121579OKLAHOMANo
2163WR0006XRegistered NurseRegistered Nurse First AssistantR0121579OKLAHOMANo
3363L00000XNurse Practitioner200647OKLAHOMANo
4363L00000XNurse Practitioner10036936OREGONNo
5363LA2100XNurse PractitionerAcute Care200647OKLAHOMANo
6363LG0600XNurse PractitionerGerontology10036936OREGONYes

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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