Active NPI
Kaitlin Marie Egan, NNP-BC
- Neonatal Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 201706420NP-PP
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-8122
- Fax
- (503) 494-1542
- NPI assigned
- Aug 18, 2017
- Last updated
- Feb 26, 2026
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 201706420NP-PP | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8122
Other practice location 1
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234
Other practice location 2
2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 382-4321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201706420NP-PP | Other | OR | OREGON LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201706420NP-PP | OR | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
Interoperability endpoints
- keagan111326@secure.stcharleshealthcare.org
- kegan832573@oc.providencedirect.org
Organizations & group practices 5
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.
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
dba St. Charles Medical Center - Bend
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
dba OHSU Home Infusion Pharmacy
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
dba OHSU Intercultural Psychiatric Program
- Adult Mental Health Clinic/Center
- Portland, OR
- NPI 1750753687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1326564659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8122",
"fax_number": "503-494-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8122",
"fax_number": "503-494-1542"
}
],
"practiceLocations": [
{
"address_1": "9205 SW Barnes Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972256603",
"country_code": "US",
"telephone_number": "503-216-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 NE Neff Rd",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977016015",
"country_code": "US",
"telephone_number": "541-382-4321",
"fax_number": "541-706-7068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGAN",
"first_name": "KAITLIN",
"middle_name": "MARIE",
"credential": "NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "OR",
"license": "201706420NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON LICENSE",
"identifier": "201706420NP-PP",
"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 Feb 26, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.