Individual provider Active NPI

Katherine Pfister-Minogue, RN, BSN, MSN, ANP

  • Adult Health Nurse Practitioner
  • La Grande, OR
National Provider Identifier
1699794313
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
079043011N3ANP Issued in OR
Practice address
1100 K Ave
La Grande, OR 97850-2131
Phone
(541) 962-8801
Fax
(541) 963-5272
NPI assigned
Jul 19, 2006
Last updated
Jan 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 079043011RN OR
Adult Health Nurse Practitioner 363LA2200X 079043011N3ANP OR Primary

Addresses

Primary practice location

1100 K Ave
La Grande, OR 97850-2131

Mailing address

1100 K Ave
La Grande, OR 97850-2131
Phone (541) 962-8801

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)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
079043011RNORMDRegistered Nurse
079043011N3ANPORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc Past Accepting new patients
Center for Human Development, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1699794313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 K AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502131",
            "telephone_number": "541-962-8801",
            "fax_number": "541-963-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 K AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502131",
            "telephone_number": "541-962-8801",
            "fax_number": "541-963-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFISTER-MINOGUE",
        "first_name": "KATHERINE",
        "credential": "RN, BSN, MSN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "079043011RN",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "079043011N3ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.