Individual provider Active NPI

Karen A Mischke Nell, WHCNP

  • Women's Health Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1417095357
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
17818N7 Issued in OR
Practice address
620 SE Oak St Ste a
Hillsboro, OR 97123-4160
Phone
(503) 648-0661
Fax
(503) 640-5863
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 17818N7 OR Primary

Addresses

Primary practice location

620 SE Oak St Ste a
Hillsboro, OR 97123-4160

Mailing address

15566 SW Peridot Way
Beaverton, OR 97007-8629
Phone (503) 579-6900

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17818N7ORMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417095357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15566 SW PERIDOT WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078629",
            "telephone_number": "503-579-6900",
            "fax_number": "503-640-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SE OAK ST STE A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234160",
            "telephone_number": "503-648-0661",
            "fax_number": "503-640-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHKE NELL",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "WHCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "17818N7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • 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.