Individual provider Active NPI

Kathryn Spring Mead

  • Women's Health Nurse Practitioner
  • Medford, OR
National Provider Identifier
1497186530
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
202114267NP-PP Issued in OR
Practice address
3170 State St
Medford, OR 97504-8450
Phone
(207) 608-3311
NPI assigned
Nov 27, 2013
Reactivated
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2286310 MA
Women's Health Nurse Practitioner 363LW0102X 202114267NP-PP OR Primary

Addresses

Primary practice location

3170 State St
Medford, OR 97504-8450

Mailing address

1050 SW 6TH Ave Ste 1100
Portland, OR 97204-1153
Phone (207) 608-3311

Other practice location 1

1050 SW 6th Ave Ste 1100
Portland, OR 97204-1153
Phone (207) 608-3311

Other practice location 2

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (207) 608-3311

Other practice location 3

1050 SW 6th Ave Ste 1100
Portland, OR 97204-1153
Phone (207) 608-3311

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
I20230328002844 OR Practitioner - Nurse Practitioner 8820462104 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2286310MAMDRegistered Nurse
202114267NP-PPORMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Medical Center Inc CurrentSince Apr 17, 2023 Accepting new patients
Medford Womens Clinic LLP CurrentSince Jul 15, 2024 Accepting new patients
North Bend Medical Center Inc CurrentSince Apr 17, 2023 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

3170 State St
Medford, OR 97504
Phone (541) 734-3501

Interoperability endpoints

  • Direct secure messaging: kathryn.mead.1@27069.direct.athenahealth.com

Organizations & group practices 4

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": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1497186530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SW 6TH AVE STE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041153",
            "telephone_number": "207-608-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048450",
            "telephone_number": "207-608-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 SW 6th Ave Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972041153",
            "country_code": "US",
            "telephone_number": "207-608-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "207-608-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 SW 6th Ave Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972041153",
            "country_code": "US",
            "telephone_number": "207-608-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEAD",
        "first_name": "KATHRYN",
        "middle_name": "SPRING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "deactivation_date": "2021-12-15",
        "reactivation_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2286310",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "202114267NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.