Mr. Kid J Cabrera Sr., FNP
Nurse Practitioner, Family in Bend, Oregon
1588386676- Practice location
- 815 SW Bond St, Bend, OR 97702-3593
- Phone
- 541-382-4900
- Fax
- —
- Last updated
- April 8, 2024
Mr. Kid J Cabrera Sr., FNP is a Nurse Practitioner, Family based in Bend, OR. Mr. Kid J Cabrera Sr., FNP holds the professional credentials of FNP. The NPI number for Mr. Kid J Cabrera Sr., FNP is 1588386676 and holds license No. 202210845NP-PP (OR). The current practice location address is 815 SW Bond St, Bend, OR 97702-3593 and the office can be reached by phone at 541-382-4900. The NPI was assigned on September 14, 2022 and the record was last updated in NPPES on April 8, 2024.
●Provider Profile Details
- NPI Number
- 1588386676
- Provider Name
- Kid Jonathan Cabrera
- Credential
- FNP
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Enumeration Date
- September 14, 2022
- Last Update Date
- April 8, 2024
- Certification Date
- April 8, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 815 SW Bond St
Bend, OR 97702-3593 - City
- Bend
- State
- Oregon
- ZIP
- 97702-3593
- Country
- US
- Phone Number
- 541-382-4900
✉Business Mailing Address
- Address
- Po Box 6048
Bend, OR 97708-6048 - City
- Bend
- State
- OR
- ZIP
- 97708-6048
- Phone Number
- 541-382-4900
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | Yes | 202210845NP-PP | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Mr. Kid J Cabrera Sr., FNP?
The NPI number of Mr. Kid J Cabrera Sr., FNP is 1588386676. It was assigned on September 14, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Kid J Cabrera Sr., FNP?
Mr. Kid J Cabrera Sr., FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 202210845NP-PP (OR).
Where does Mr. Kid J Cabrera Sr., FNP practice?
The practice location is 815 SW Bond St, Bend, OR 97702-3593. The office can be reached at 541-382-4900 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588386676 directly on the NPPES registry website at npiregistry.cms.hhs.gov.