Individual provider Active NPI

Carly Hernandez Kadell, DNP, PMHNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1093264053
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201806645NP-PP Issued in OR
Practice address
33 NW Broadway
Portland, OR 97209-3580
Phone
(503) 228-7134
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201607715RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60884355 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201806645NP-PP OR Primary

Addresses

Primary practice location

33 NW Broadway
Portland, OR 97209-3580

Mailing address

33 NW Broadway
Portland, OR 97209-3580
Phone (503) 228-7134

Other practice location 1

13215 SE Mill Plain Blvd Ste C8
Vancouver, WA 98684-6999
Phone (971) 318-6350

Other practice location 2

45 82nd Dr Ste 51
Gladstone, OR 97027-2562
Phone (971) 318-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190319001724 OR Order and Referring Only - Nurse Practitioner 0446590087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
201607715RNORMDRegistered Nurse
201806645NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
AP60884355WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Talking Twenties, PLLC Psychiatric/Mental Health Past Accepting new patients
Telecare Mental Health Services of Oregon, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chernandezkadell665315@direct.ochin.org

Organizations & group practices 2

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1093264053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 NW BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093580",
            "telephone_number": "503-228-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NW BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093580",
            "telephone_number": "503-228-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13215 SE Mill Plain Blvd Ste C8",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846999",
            "country_code": "US",
            "telephone_number": "971-318-6350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 82nd Dr Ste 51",
            "address_purpose": "LOCATION",
            "city": "Gladstone",
            "state": "OR",
            "postal_code": "970272562",
            "country_code": "US",
            "telephone_number": "971-318-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ KADELL",
        "first_name": "CARLY",
        "credential": "DNP, PMHNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201607715RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60884355",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201806645NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.