Active NPI
Kyle Bell McAvoy, N.P.
- Women's Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1255414223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 083039267N1 FNP PP
- Practice address
- 120 NW 14TH Ave.
Suite 200
Portland, OR 97409 - Phone
- (503) 771-1883
- Fax
- (971) 222-1391
- NPI assigned
- Oct 23, 2006
- Last updated
- May 20, 2022
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 083039267N1 FNP PP | OR | Primary |
Addresses
Primary practice location
120 NW 14TH Ave.
Suite 200
Portland, OR 97409
Mailing address
120 NW 14TH Ave.
Suite 200
Portland, OR 97409
Phone (503) 771-1883
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083039267N1 FNP PP | OR | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1255414223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NW 14TH AVE.",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97409",
"telephone_number": "503-771-1883",
"fax_number": "971-222-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NW 14TH AVE.",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97409",
"telephone_number": "503-771-1883",
"fax_number": "971-222-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCAVOY",
"first_name": "KYLE",
"middle_name": "BELL",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "083039267N1 FNP PP",
"primary": true
}
],
"identifiers": [],
"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 May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.