Individual provider Active NPI

Kori Danielle Pienovi, CNM

  • Advanced Practice Midwife
  • Gresham, OR
National Provider Identifier
1457326662
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
200850160NP Issued in OR
Practice address
24850 SE Stark St Ste 200
Gresham, OR 97030-8320
Phone
(503) 491-9444
NPI assigned
Feb 21, 2006
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 200850160NP OR Primary

Addresses

Primary practice location

24850 SE Stark St Ste 200
Gresham, OR 97030-8320

Mailing address

PO Box 3777
Portland, OR 97208-3777

Other practice location 1

9135 SW Barnes Rd Ste 761
Portland, OR 97225-6777
Phone (503) 216-2602

Other practice location 2

10566 SE Washington St
Portland, OR 97216-2809
Phone (503) 734-3800

Other practice location 3

10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone (503) 261-4423

Other identifiers 1

IdentifierTypeStateIssuer
5006011852MedicaidOR

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108002367 OR Practitioner - Certified Nurse Midwife (CNM) 2466490305 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 24, 2025 Accepting new patients
Portland Adventist Medical Center CurrentSince Oct 17, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Oct 17, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 22, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 22, 2023 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 24, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 29, 2025 Accepting new patients
Northwest Urology, LLC Past Accepting new patients
Legacy Clinics LLC Past Accepting new patients
Women's Healthcare Associates, LLC PastSince Sep 3, 2025 Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

24850 SE Stark St
Ste 200
Gresham, OR 97030
Phone (503) 491-9444

10101 SE Main St
Ste 3001
Portland, OR 97216
Phone (503) 255-2667

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

9135 SW Barnes Rd
Ste 761
Portland, OR 97225
Phone (503) 216-2602

Interoperability endpoints

  • Direct secure messaging: kpienovi152655@direct.ohsu.edu
  • Direct secure messaging: kpienovi19749@direct.lhs.org
  • Direct secure messaging: kpienovi751689@oc.providencedirect.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1457326662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24850 SE STARK ST STE 200",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308320",
            "telephone_number": "503-491-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9135 SW Barnes Rd Ste 761",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256777",
            "country_code": "US",
            "telephone_number": "503-216-2602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10566 SE Washington St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162809",
            "country_code": "US",
            "telephone_number": "503-734-3800",
            "fax_number": "503-734-3808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 SE Main St Ste 3001",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162458",
            "country_code": "US",
            "telephone_number": "503-261-4423",
            "fax_number": "503-261-4424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIENOVI",
        "first_name": "KORI",
        "middle_name": "DANIELLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "200850160NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5006011852",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.