Active NPI
Renee St. Marie Hashbarger, FNP
- Family Nurse Practitioner
- Portland, OR
National Provider Identifier
1447296397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200050103
- Practice address
- 3231 SE 50TH Ave
Portland, OR 97206-2248 - Phone
- (503) 775-4931
- Fax
- (503) 788-7285
- NPI assigned
- Jun 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200040286 | OR | |
| Family Nurse Practitioner | 363LF0000X | 200050103 | OR | Primary |
Addresses
Primary practice location
3231 SE 50TH Ave
Portland, OR 97206-2248
Mailing address
3727 NE Martin Luther King Jr Blvd
Attn: Credentialing
Portland, OR 97212-1112
Phone (503) 775-4931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028174 | Medicaid | OR |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200040286 | OR | MD | Registered Nurse |
| 200050103 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of the Columbia/Willamette, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1053311860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1447296397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 NE MARTIN LUTHER KING JR BLVD",
"address_2": "ATTN: CREDENTIALING",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121112",
"telephone_number": "503-775-4931",
"fax_number": "503-788-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 SE 50TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972062248",
"telephone_number": "503-775-4931",
"fax_number": "503-788-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASHBARGER",
"first_name": "RENEE",
"middle_name": "ST. MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "200040286",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200050103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028174",
"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 Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.