Individual provider Active NPI

Claire Kinnison, NP

  • Family Nurse Practitioner
  • Milwaukie, OR
National Provider Identifier
1427427103
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201504673NP-PP Issued in OR
Practice address
10330 SE 32ND Ave Ste 325
Milwaukie, OR 97222-6656
Phone
(503) 416-1960
Fax
(503) 416-1959
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201504673NP-PP OR Primary

Addresses

Primary practice location

10330 SE 32ND Ave Ste 325
Milwaukie, OR 97222-6656

Mailing address

7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3077

Other identifiers 2

IdentifierTypeStateIssuer
201504673NP-PPOtherOROR LICENSE
500692695MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105000353 OR Practitioner - Nurse Practitioner 2769792670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health CenterGroup PAC ID 8426227893, 35 clinicians

Practice addresses (Care Compare)

10330 SE 32ND Ave
Suite 325
Milwaukie, OR 97222-6656
Phone (503) 416-1960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center CurrentSince Sep 24, 2017 Accepting new patients
Neighborhood Health Center CurrentSince Sep 24, 2017 Accepting new patients
Neighborhood Health Center Current Accepting new patients
Neighborhood Health Center Past Accepting new patients
Neighborhood Health Center Past Accepting new patients

Locations

227 NW 3rd Ave
Canby, OR 97013
Phone (503) 416-4547

10690 NE Cornell Rd
Ste 220
Hillsboro, OR 97124
Phone (503) 848-5861

6420 S Macadam Ave
Ste 300
Portland, OR 97239
Phone (503) 941-3033

10330 SE 32nd Ave
Ste 325
Portland, OR 97222
Phone (503) 387-8200

7320 SW Hunziker Rd
Ste 300
Tigard, OR 97223
Phone (503) 941-3033

Interoperability endpoints

  • Direct secure messaging: ckinnison196091@direct.ochin.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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1427427103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3077",
            "fax_number": "503-747-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SE 32ND AVE STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226656",
            "telephone_number": "503-416-1960",
            "fax_number": "503-416-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNISON",
        "first_name": "CLAIRE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201504673NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR LICENSE",
            "identifier": "201504673NP-PP",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500692695",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.