Active NPI
Krista Kaufman, FNP
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201907058NP-PP
- Practice address
- 1200 NE Broadway St Ste 20
Portland, OR 97232-1260 - Phone
- (971) 432-7555
- NPI assigned
- Oct 23, 2019
- Last updated
- Jan 9, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61328203 | WA | |
| Family Nurse Practitioner | 363LF0000X | 201907058NP-PP | OR | Primary |
Addresses
Primary practice location
1200 NE Broadway St Ste 20
Portland, OR 97232-1260
Mailing address
PO Box 4825
Portland, OR 97208-4825
Phone (360) 882-2778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
340 NW Burnside Rd
Gresham, OR 97030-3852
Phone (360) 882-2778
700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201907058NP-PP | OR | MD | Family Nurse Practitioner |
| AP61328203 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multnomah County | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Pharmacy | Past | Accepting new patients |
Locations
340 NW Burnside Rd
Gresham, OR 97030
Phone (971) 432-7500
600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900
1200 NE Broadway St
Ste 20
Portland, OR 97232
Phone (971) 432-7555
12710 SE Division St
Portland, OR 97236
Phone (503) 988-3410
209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674
619 NW 6th Ave
Portland, OR 97209
Phone (503) 988-3674
619 NW 6th Ave
Fl 5
Portland, OR 97209
Phone (503) 988-5558
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
Interoperability endpoints
- kkaufman19520@tvc-direct.org
Organizations & group practices 7
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 The Vancouver Clinic
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
OR
-
dba Multnomah County Health Dept, North Portland
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1609914787
-
dba Multnomah County Health Department,PH
- State or Local Public Health Clinic/Center
- Portland, OR
- NPI 1275702201
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1912322074
-
dba Salmon Creek 2 Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
-
- Pharmacist
- Vancouver, WA
- NPI 1336365857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1447893383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4825",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084825",
"telephone_number": "360-882-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NE BROADWAY ST STE 20",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321260",
"telephone_number": "971-432-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "KRISTA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61328203",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201907058NP-PP",
"primary": true
}
],
"identifiers": [],
"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 Jan 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.