Active NPI
Deanna Read, CPNP-PC
- Pediatrics Physician
- Portland, OR
National Provider Identifier
1538716154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 202009367NP-PP
- Practice address
- 8333 SE 13TH Ave
Portland, OR 97202-7101 - Phone
- (503) 595-9300
- NPI assigned
- Aug 19, 2019
- Last updated
- Jul 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 202009367NP-PP | OR | Primary |
Addresses
Primary practice location
8333 SE 13TH Ave
Portland, OR 97202-7101
Mailing address
11220 NW 325TH Ave
North Plains, OR 97133-8161
Phone (503) 980-8189
Other practice location 1
3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Phone (503) 494-7725
Other names 1
- Deanna Patterson
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 |
|---|---|---|---|
| 202009367NP-PP | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sellwood Medical Clinic PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/3083/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Portland, OR
- NPI 1083686554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1538716154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11220 NW 325TH AVE",
"city": "NORTH PLAINS",
"state": "OR",
"postal_code": "971338161",
"telephone_number": "503-980-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 SE 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027101",
"telephone_number": "503-595-9300"
}
],
"practiceLocations": [
{
"address_1": "3455 SW US Veterans Hospital Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393076",
"country_code": "US",
"telephone_number": "503-494-7725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "READ",
"first_name": "DEANNA",
"credential": "CPNP-PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "202009367NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNA",
"last_name": "PATTERSON",
"credential": "RN, CPNP-PC",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.