Active NPI
Tanna Dawn Winters, CPNP-PC
- Pediatric Nurse Practitioner
- Hillsboro, OR
National Provider Identifier
1649934076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 202111828NP-PP
- Practice address
- 445 E Main St
Hillsboro, OR 97123-4084 - Phone
- (504) 640-2757
- Fax
- (503) 640-9753
- NPI assigned
- Oct 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 202111828NP-PP | OR | Primary |
Addresses
Primary practice location
445 E Main St
Hillsboro, OR 97123-4084
Mailing address
445 E Main St
Hillsboro, OR 97123-4084
Phone (503) 640-2757
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 |
|---|---|---|---|
| 202111828NP-PP | OR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsboro Pediatric Clinic LLC | Current | Accepting new patients | |
| Rupa K. Shah, MD, PC | Past | Accepting new patients | |
| Oregon Pediatrics-Oregon City, PC | Past | Accepting new patients |
Locations
6125 NE Cornell Rd
Ste 240
Hillsboro, OR 97124
Phone (503) 640-2757
445 E Main St
Hillsboro, OR 97123
Phone (503) 640-2757
Interoperability endpoints
- twinters@hpc.ssdirect.aprima.com
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Hillsboro, OR
- NPI 1245312842
-
- Pediatrics Physician
- Oregon City, OR
- NPI 1114558368
-
- Pediatrics Physician
- Clackamas, OR
- NPI 1275579906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1649934076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 E MAIN ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234084",
"telephone_number": "503-640-2757",
"fax_number": "503-640-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 E MAIN ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234084",
"telephone_number": "504-640-2757",
"fax_number": "503-640-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERS",
"first_name": "TANNA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OR",
"license": "202111828NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.