Active NPI
Katherine Beaumont
- Registered Nurse
- Portland, OR
National Provider Identifier
1053723726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201392835RN
- Practice address
- 3727 NE Martin Luther King Jr Blvd
Portland, OR 97212-1112 - Phone
- (503) 775-4931
- NPI assigned
- May 28, 2014
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201392835RN | OR | Primary |
Addresses
Primary practice location
3727 NE Martin Luther King Jr Blvd
Portland, OR 97212-1112
Mailing address
6830 SW 26TH Ave Apt 25
Portland, OR 97219-1989
Phone (408) 515-5171
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201392835RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1053723726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 SW 26TH AVE APT 25",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191989",
"telephone_number": "408-515-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 NE MARTIN LUTHER KING JR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121112",
"telephone_number": "503-775-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUMONT",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201392835RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
- Lauren Beaudoin-Colegrove, LICSW
- Jennifer Simone Beaudoin, CSWA
- Krista Beaudoin, BA
- Beaumont Chiropractic Clinic
- Beaumont Vision, PC
- Ralph Harrison Beaumont, M.D.
- Jill Katherine Beauregard
- Beautiful River Consulting, LLC Dba Sustainable Self, LLC
- Beautiful Sunshine Therapy Limited
- Amy Lynn Beaver, CADC II/QMHA-I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.