Individual provider Active NPI

Kendra Parkin, WHCNP

  • Women's Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1689004053
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
201392687NP Issued in OR
Practice address
12220 SW 1St St
Suite 200
Beaverton, OR 97005-2889
Phone
(503) 775-4931
Fax
(503) 788-7285
NPI assigned
Nov 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 201392687NP OR Primary

Addresses

Primary practice location

12220 SW 1St St
Suite 200
Beaverton, OR 97005-2889

Mailing address

3727 NE Martin Luther King Jr Blvd
Portland, OR 97212-1112
Phone (503) 775-4931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150216001960 OR Practitioner - Nurse Practitioner 1456676477 Reassigns benefits to 2 organizations
I20200224000424 WA Practitioner - Nurse Practitioner 1456676477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

8179 N Lombard St
Portland, OR 97203-3130
Phone (864) 664-3984

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201392687NPORMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 29, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 29, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 29, 2019 Accepting new patients
Peacehealth Networks on Demand, LLC CurrentSince Jul 31, 2024 Accepting new patients
Zoomcare Urgent Care LLC PastSince Aug 6, 2023 Accepting new patients
Zoomcare PC Past Accepting new patients

Locations (25 of 28)

10221 SE Sunnyside Rd
Clackamas, OR 97015

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671

17155 SE Sunnyside Rd
Ste 160
Happy Valley, OR 97015
Phone (503) 908-5634

2711 NE Town Center Dr
Ste 2
Hillsboro, OR 97006

172 NE Martin Luther King Jr Blvd
Portland, OR 97232

1455 NW Irving St
Ste 600
Portland, OR 97209
Phone (702) 388-4512

8179 N Lombard St
Portland, OR 97203

3130 SE Division St
Portland, OR 97202
Phone (503) 515-2877

4415 SE Woodstock Blvd
Portland, OR 97206

3060 SE Hawthorne Blvd
Portland, OR 97214

900 SW 5th Ave
Portland, OR 97204
Phone (503) 774-2107

3218 NE Broadway St
Portland, OR 97232

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

2990 Commercial St SE
Ste 160
Salem, OR 97302

10425 NE 8th St
Bellevue, WA 98004

24118 Bothell Everett Hwy
Unit 200
Bothell, WA 98021

17017 SE 270th Pl
Ste C113
Covington, WA 98042

221 SE Everett Mall Way
Ste M3
Everett, WA 98208

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036

2010 148th Ave NE
Redmond, WA 98052

2036 NW Market St
Seattle, WA 98107

4540 University Way NE
Seattle, WA 98105

624 N 34th St
Unit 104
Seattle, WA 98103

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kendra.parkin.1@30646.direct.athenahealth.com

Organizations & group practices 7

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": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1689004053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121112",
            "telephone_number": "503-775-4931",
            "fax_number": "503-788-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 SW 1ST ST",
            "address_2": "SUITE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052889",
            "telephone_number": "503-775-4931",
            "fax_number": "503-788-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKIN",
        "first_name": "KENDRA",
        "credential": "WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "201392687NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.