Kirsten Marie Winn Carr, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD26408 Issued in OR

Practice address

1675 SW Marlow Ave Ste 202
Portland, OR 97225-5102

Phone

(503) 430-1777

NPI assigned

Jul 15, 2006

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Avamere Lake Oswego Operations Investors, LLC

  • Skilled Nursing Facility
  • Lake Oswego, OR
  • NPI 1437176344

  Contracted Managing Employee

  CMS ownership
• Coos Bay Rehabilitation, LLC

  dba Avamere Rehabilitation of Coos Bay

  • Skilled Nursing Facility
  • Coos Bay, OR
  • NPI 1831233519

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Eden Hospice at Portland, LLC

  dba Eden Hospice

  • Community Based Hospice Care Agency
  • Oregon City, OR
  • NPI 1902579840

  W-2 Managing Employee

  CMS ownership

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.

• Bristol Advanced Illness Management - Oregon, L.L.C.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Springfield, OR
  • NPI 1083364749
  Medicare reassignment NPD
• CRM Physicians, LLC

  dba Ascent Healthcare

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1952674996

  Family Medicine, WA

  Medicare reassignment NPD
• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Desert Wildflower Assisted Living LLC

  • Assisted Living Facility
  • Glendale, AZ
  • NPI 1932722402
  NPD Authorized official
• Majestic Villa Assisted Living

  • Assisted Living Facility
  • Glendale, AZ
  • NPI 1649876418
  NPD Authorized official
• Multnomah Family Care Center

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1104145952
  Authorized official Same address or phone
• Multnomah Family Care Center

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1689983108
  Authorized official Same address or phone
• Multicare Health System

  dba Covington MultiCare Clinic

  • Family Medicine Physician
  • Covington, WA
  • NPI 1093768657
  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Bristol Hospice - Eugene, LLC

  • Community Based Hospice Care Agency
  • Springfield, OR
  • NPI 1568962033

  Family Medicine

  NPD (past)
• Landmark Health of Oregon LLC

  • General Practice Physician
  • Tigard, OR
  • NPI 1205226214
  NPD (past)
• Mark W Cheng LLC

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
  • NPI 1497251904
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1225054646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 SW IDAHO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211617",
            "telephone_number": "503-740-6693",
            "fax_number": "503-379-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255102",
            "telephone_number": "503-430-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5252 SW Idaho St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972211617",
            "country_code": "US",
            "telephone_number": "503-740-6693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 W Union Hills Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850275187",
            "country_code": "US",
            "telephone_number": "480-404-4952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "KIRSTEN",
        "middle_name": "MARIE WINN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33275",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "19947",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD606724",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD26408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Lawrence Carr, M.D.
• Chelsea Carr
• Elizabeth A Carr, M.D.
• Julia Carr, PCA
• Kathryn Winslett Carr, L.AC.
• Maddison Carr
• Richard Dale Carr, M.D.
• Tomica Monique Carr, PEER SPECIALIST
• William A Carr, MD
• Y Cheree Carr

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.