Active NPI
Kendra Parkin, WHCNP
- Women's Health Nurse Practitioner
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 201392687NP
- 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
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 |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201392687NP | OR | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Peacehealth Networks on Demand, LLC | Current | Accepting new patients | |
| Zoomcare Urgent Care LLC | Past | 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
- https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
- 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.
-
- General Practice Physician
- Tigard, OR
- NPI 1023582178
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- General Practice Physician
- Portland, OR
- NPI 1306192455
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Internal Medicine Physician
- Portland, OR
- NPI 1689647372
-
- Urgent Care Clinic/Center
- Lake Oswego, OR
- NPI 1376225813
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.