Ka'Imialaimaka La Vine, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10030537 Issued in OR

Practice address

10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791

Phone

(503) 230-7007

NPI assigned

Aug 30, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joseph Ka'Imialaimaka La Vine Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Clinicops, LLC

  dba Oregon Integrated Health

  • Family Medicine Physician
  • Portland, OR
  • NPI 1275821266

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Nalu Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
  • NPI 1649155201
  NPD Authorized official
• Clinicops LLC

  dba Oregon Integrated Health

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1215713961
  NPD
• Clinicops LLC

  dba Oregon Integrated Health

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1912431594

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1629802632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 560",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054791",
            "telephone_number": "971-238-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 560",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054791",
            "telephone_number": "503-230-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA VINE",
        "first_name": "KA'IMIALAIMAKA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10030537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "LA VINE",
            "middle_name": "KA'IMIALAIMAKA",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Joye Kutcher, LMT
• Andrea Renee Kwiecien, O.D.
• Kylee M Peterson LLC
• La Cote Fleurie, LLC. (Comforcare Home Care-Hillsboro-McMinnville)
• Nicholas La Puma Jr., L.AC
• Anna La, RDH
• Lab Express Portland Inc
• Ashley Marie Labar, PHYSICIAN ASSISTANT
• Eli Aaron Labinger
• Sharon Janelle Lacey

• Psychiatric/Mental Health Nurse Practitioner in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.