Active NPI
Kathryn Rose Van Beeck, ANP
- Adult Health Nurse Practitioner
- Hillsboro, OR
National Provider Identifier
1043315898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- OR 080044601N3
- Practice address
- 19400 NW Evergreen Pwy
Hillsboro, OR 97124-7031 - Phone
- (503) 645-2762
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | OR 080044601N3 | OR | Primary |
Addresses
Primary practice location
19400 NW Evergreen Pwy
Hillsboro, OR 97124-7031
Mailing address
19400 NW Evergreen Pkwy
Hillsboro, OR 97124-7031
Phone (503) 617-2303
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR 080044601N3 | OR | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Health of Oregon LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Physician
- Tigard, OR
- NPI 1205226214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1043315898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19400 NW EVERGREEN PKWY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247031",
"telephone_number": "503-617-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19400 NW EVERGREEN PWY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247031",
"telephone_number": "503-645-2762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN BEECK",
"first_name": "KATHRYN",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "OR 080044601N3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.