Individual provider Active NPI

Hillary Diane Davault, PNP

  • Pediatric Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1023877636
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
10030013 Issued in OR
Practice address
15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357
Phone
(503) 531-3434
Fax
(503) 645-4544
NPI assigned
Mar 18, 2024
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 10030013 OR Primary
Pediatric Registered Nurse 163WP0200X 201604360RN OR

Addresses

Primary practice location

15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357

Mailing address

15455 NW Greenbrier Pkwy Ste 111
Beaverton, OR 97006-7357
Phone (503) 531-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201604360RNORMDPediatric Registered Nurse
10030013ORMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Pediatrics, LLC Pediatrics PastSince Aug 18, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hdavault1514852@direct.lhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1023877636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 111",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067357",
            "telephone_number": "503-531-3434",
            "fax_number": "503-645-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 111",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067357",
            "telephone_number": "503-531-3434",
            "fax_number": "503-645-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVAULT",
        "first_name": "HILLARY",
        "middle_name": "DIANE",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "10030013",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OR",
            "license": "201604360RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.