Kristi Winn, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

202111134NP-PP Issued in OR

Practice address

1733 E Powell Blvd Ste 105
Gresham, OR 97030-8013

Phone

(971) 600-5290

NPI assigned

Oct 11, 2021

Last updated

Oct 11, 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 26, 2025 through Feb 26, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• White Lotus Aesthetics & Wellness, LLC

  • Primary Care Nurse Practitioner
  • Salem, OR
  • NPI 1144088824
  NPD Authorized official

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1295497899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 LABISH CENTER RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973059569",
            "telephone_number": "971-600-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 E POWELL BLVD STE 105",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308013",
            "telephone_number": "971-600-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "KRISTI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202111134NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.whitelotusmedicalaesthetics.com",
            "affiliation": "N",
            "endpointDescription": "Medical Aesthetics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1733 E Powell Blvd Ste 105",
            "city": "Gresham",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970308013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bethanie Wilson, CRM
• Natalie Dawn Wilson
• Peter Frederick Wilson, PSY.D.
• Henry Cooke Windell, DMD
• Georgann Dorthe Wingerson, MPA
• Brandon Winward
• Paytonn Taini Wirt
• Alyssa Wirthlin
• Wishing Wellness Counseling and Coaching
• Lena Marlene Witkowski, RN, QMHP

• Nurse Practitioner in Gresham, OR
• Providers in Gresham, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.