Active NPI
Debra Kate, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1144314592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 080-045850N6
- Practice address
- 2415 SE 43Rd Ave
Suite 100
Portland, OR 97206 - Phone
- (504) 238-0705
- Fax
- (503) 236-7166
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 080-045850N6 | OR | Primary |
Addresses
Primary practice location
2415 SE 43Rd Ave
Suite 100
Portland, OR 97206
Mailing address
2645 SE Oak Grove Blvd
Milwaukie, OR 97267-1328
Phone (503) 659-4171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000693 | Medicaid | OR |
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 |
|---|---|---|---|
| 080-045850N6 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascadia Health | 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.
-
- Primary Care Clinic/Center
- Portland, OR
- NPI 1144722935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144314592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 SE OAK GROVE BLVD",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972671328",
"telephone_number": "503-659-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 SE 43RD AVE",
"address_2": "SUITE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97206",
"telephone_number": "504-238-0705",
"fax_number": "503-236-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATE",
"first_name": "DEBRA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "080-045850N6",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000693",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.