Katherine D. Elliott, NURSE PRACTITIONER

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

79043305 Issued in OR

Practice address

3710 SW US Veterans Road
P3Mhdc
Portland, OR 97204-1034

Phone

(503) 273-5187

Fax

(503) 280-3499

NPI assigned

Aug 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225146442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P OBOX 1034",
            "address_2": "P3MHDC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041034",
            "telephone_number": "503-273-5187",
            "fax_number": "503-280-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS ROAD",
            "address_2": "P3MHDC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041034",
            "telephone_number": "503-273-5187",
            "fax_number": "503-280-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KATHERINE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OR",
            "license": "79043305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Elliott
• Candia Elliott, CADC II
• Caroleigh Jean Elliott, DC
• Emily Elliott
• Kara Elliott
• Kim Michele Elliott, MS, CCC-SLP
• Leah Elliott
• Matthew Aaron Elliott, L.AC
• Omolola Elliott, LCSW
• Robert Elliott, O.D.

• Adult Psychiatric/Mental Health Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.