Sid Christian Keomanivong
Sid Christian Keomanivong is a Primary Care Nurse Practitioner provider (Nurse Practitioner) practicing in Central Point, OR, registered in the NPPES registry with NPI 1760960462 since 2018.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1760960462 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Sid Christian Keomanivong |
| Sex | Male |
| Practice address | 2677 BEALL LN, Central Point, OR, 97502 |
| Phone | 7023430466 |
| Enumeration date | 2018-08-03 |
| Last updated in NPPES | 2019-10-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LP2300X | Primary Care Nurse Practitioner | Primary | 201806379NP-PP | OR |
Copy-ready billing details
Provider: Sid Keomanivong NPI: 1760960462 Taxonomy: 363LP2300X (Primary Care Nurse Practitioner) Address: 2677 BEALL LN, Central Point, OR, 97502
Verify this record
Cross-check NPI 1760960462 against the authoritative CMS record: view Sid Christian Keomanivong on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where does Sid Keomanivong practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-10-08.