Hannah Goodwater-Bateman

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

201809122NP-PP Issued in OR

Practice address

8645 SE Sunnybrook Blvd Ste 200
Clackamas, OR 97015-6841

Phone

(503) 404-3907

NPI assigned

Oct 12, 2018

Last updated

Oct 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 10, 2021 through Aug 10, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hgoodwater285529@direct.lhs.org

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.

• Oregon Pediatrics - Happy Valley, PC

  • Pediatrics Physician
  • Happy Valley, OR
  • NPI 1669794541
  NPD (past)
• Oregon Pediatrics- Meridian Park, LLC

  • Pediatrics Physician
  • Tualatin, OR
  • NPI 1659317386
  NPD (past)
• Oregon Pediatrics-Oregon City, PC

  • Pediatrics Physician
  • Oregon City, OR
  • NPI 1114558368
  NPD (past)
• Rupa K. Shah, MD, PC

  dba Oregon Pediatrics-Clackamas

  • Pediatrics Physician
  • Clackamas, OR
  • NPI 1275579906
  NPD (past)

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1558836890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 SE SUNNYBROOK BLVD # 200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 SE SUNNYBROOK BLVD STE 200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156841",
            "telephone_number": "503-404-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWATER-BATEMAN",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "201809122NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin D Gonzales, DMD
• Peter E Goodkin, MD
• Trudy Goodloe
• Justin Ryan Goodman, DDS
• Renee Nicole Goodreau, M.D.
• Elizabeth J Gordon, AGACNP
• Olivia Marie Gordon, M.A. MFT
• Randall D Gore, M.D.
• Kelley Haines Gorsuch
• Elaine Rose Gossman, M.D.

• Pediatric Nurse Practitioner in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.