Individual provider Active NPI

Kathryn Kuskie, CNM

  • Advanced Practice Midwife
  • Saint Helens, OR
National Provider Identifier
1588968085
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
201350115NP Issued in OR
Practice address
2370 Gable Rd
Saint Helens, OR 97051-2913
Phone
(800) 244-4870
NPI assigned
Dec 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 201350115NP OR Primary

Addresses

Primary practice location

2370 Gable Rd
Saint Helens, OR 97051-2913

Mailing address

PO Box 995
Saint Helens, OR 97051-0995
Phone (503) 397-4651

Other practice location 1

7431 NW Evergreen Pkwy
Suite 100
Hillsboro, OR 97124-5831
Phone (503) 734-3700

Other identifiers 2

IdentifierTypeStateIssuer
500683681MedicaidOR
R172744OtherORMEDICARE PTAN

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
I20131206001553 OR Practitioner - Certified Nurse Midwife (CNM) 8820225311 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201350115NPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Urology, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kkuskie124195@direct.ochin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1588968085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 995",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970510995",
            "telephone_number": "503-397-4651",
            "fax_number": "503-397-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 GABLE RD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970512913",
            "telephone_number": "800-244-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7431 NW Evergreen Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971245831",
            "country_code": "US",
            "telephone_number": "503-734-3700",
            "fax_number": "503-473-8462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSKIE",
        "first_name": "KATHRYN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2023-07-06",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201350115NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500683681",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R172744",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

Verify at the official NPI Registry.