Individual provider Active NPI

Katherine O Spira, DNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1346601754
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201800777NP Issued in OR
Practice address
3303 SW Bond Ave Ste 9
Portland, OR 97239
Phone
(503) 494-8573
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201800777NP OR Primary
Registered Nurse 163W00000X RN.0200907 CO
General Practice Registered Nurse 163WG0000X 201800605RN OR
Family Nurse Practitioner 363LF0000X APN.0992575-NP CO

Addresses

Primary practice location

3303 SW Bond Ave Ste 9
Portland, OR 97239

Mailing address

3303 SW Bond Ave Ste 9
Portland, OR 97239-4501
Phone (503) 494-8573

Other practice location 1

6420 S MacAdam Ave Ste 330
Portland, OR 97239-3564
Phone (503) 477-7878

Other identifiers 1

IdentifierTypeStateIssuer
9000135175MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161006000106 CO Practitioner - Nurse Practitioner 2668760737 Reassigns benefits to 2 organizations
I20190225000128 OR Practitioner - Nurse Practitioner 2668760737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone (503) 494-3442

3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.0200907COMDRegistered Nurse
201800605RNORMDGeneral Practice Registered Nurse
201800777NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Health & Science University CurrentSince Nov 1, 2020 Accepting new patients
Green Mountain Partners for Health PLLC CurrentSince Aug 1, 2017 Accepting new patients
University Professional Services CurrentSince Jan 1, 2019 Accepting new patients
Oregon Health & Science University Current Accepting new patients
Clinica Campesina Family Health Services CurrentSince Sep 8, 2016 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Sep 8, 2016 Accepting new patients
Oregon Health & Science University CurrentSince Nov 1, 2020 Accepting new patients
University Professional Services Registered Nurse CurrentSince Jan 1, 2019 Accepting new patients
University Professional Services Current Accepting new patients
Clinica Campesina Family Health Services Current Accepting new patients
Sunstone Psychiatric, LLC PastSince Dec 15, 2024 Accepting new patients

Locations

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

200 Union Blvd
Ste 311
Lakewood, CO 80228
Phone (303) 566-7170

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900

3303 S Bond Ave
Ste 9
Portland, OR 97239
Phone (503) 494-7400

Interoperability endpoints

  • Direct secure messaging: kspira112990@direct.ohsu.edu

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1346601754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 SW BOND AVE STE 9",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394501",
            "telephone_number": "503-494-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 SW BOND AVE STE 9",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-494-8573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 S MacAdam Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393564",
            "country_code": "US",
            "telephone_number": "503-477-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIRA",
        "first_name": "KATHERINE",
        "middle_name": "O",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201800777NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0200907",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OR",
            "license": "201800605RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992575-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000135175",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.