Individual provider Active NPI

Kym Ann Lagafuaina, NP-C

  • Family Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1609306232
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992936-NP Issued in CO
Practice address
1925 NE Stucki Ave Ste 300
Hillsboro, OR 97006-6945
Phone
(503) 906-5000
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10035436 OR
Family Nurse Practitioner 363LF0000X 95019984 CA
Family Nurse Practitioner 363LF0000X APN.0992936-NP CO Primary

Addresses

Primary practice location

1925 NE Stucki Ave Ste 300
Hillsboro, OR 97006-6945

Mailing address

1860 Pelorus Ave
Seal Beach, CA 90740-5775
Phone (719) 432-6269

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
I20260323000595 OR Order and Referring Only - Nurse Practitioner 6709147390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10035436ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients

Locations

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1609306232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PELORUS AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405775",
            "telephone_number": "719-432-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 NE STUCKI AVE STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066945",
            "telephone_number": "503-906-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGAFUAINA",
        "first_name": "KYM",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10035436",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019984",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992936-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.