Individual provider Active NPI

Rosemarie Kadow

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1710447966
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61385905 Issued in WA
Practice address
2529 NE 139TH St Ste 110
Vancouver, WA 98686-2719
Phone
(360) 882-2778
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201807162NP-PP OR
Family Nurse Practitioner 363LF0000X AP61385905 WA Primary

Addresses

Primary practice location

2529 NE 139TH St Ste 110
Vancouver, WA 98686-2719

Mailing address

PO Box 4825
Portland, OR 97208-4825
Phone (360) 882-2778

Other practice location 1

9155 SW Barnes Rd Ste 420
Portland, OR 97225-6631
Phone (503) 216-2361

Electronic endpoints 7

TypeEndpointUseAffiliation
Direct Messaging Address rkadow1003110@oc.providencedirect.org
Direct Messaging Address rkadow1003110@oc.providencedirect.org
Direct Messaging Address rkadow1003110@oc.providencedirect.org
Direct Messaging Address rkadow1003110@oc.providencedirect.org
Direct Messaging Address rkadow1003110@oc.providencedirect.org
Direct Messaging Address rkadow1003110@oc.providencedirect.org
Direct Messaging Address rkadow1003110@oc.providencedirect.org

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
I20190809001675 OR Practitioner - Nurse Practitioner 4183951320 Reassigns benefits to 1 organization
I20230227002815 WA Practitioner - Nurse Practitioner 4183951320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

2529 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Vancouver Clinic Inc PS CurrentSince Mar 13, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 1, 2019 Accepting new patients
The Vancouver Clinic Inc PS Current Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Mar 13, 2023 Accepting new patients

Locations

200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500

16180 SE Sunnyside Rd
Ste 102
Happy Valley, OR 97015
Phone (503) 582-4900

10670 NE Cornell Rd
Ste 101
Hillsboro, OR 97124
Phone (503) 215-9360

9155 SW Barnes Rd
Ste 420
Portland, OR 97225
Phone (503) 297-6334

1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

16770 SW Edy Rd
Ste 102
Sherwood, OR 97140
Phone (503) 215-9600

18040 SW Lower Boones Ferry Rd
Ste 100
Tigard, OR 97224
Phone (503) 216-0624

12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900

2529 NE 139th St
Vancouver, WA 98686
Phone 3608822778 ext. 67386

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

2529 NE 139th St
Ste 110
Vancouver, WA 98686

Organizations & group practices 5

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1710447966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4825",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084825",
            "telephone_number": "360-882-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 NE 139TH ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862719",
            "telephone_number": "360-882-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9155 SW Barnes Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256631",
            "country_code": "US",
            "telephone_number": "503-216-2361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADOW",
        "first_name": "ROSEMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201807162NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61385905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkadow1003110@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "16770 SW Edy Rd Ste 102",
            "city": "Sherwood",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971409679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkadow1003110@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1321 NE 99th Ave Ste 100",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972209437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkadow1003110@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "200 S Hazel Dell Way",
            "city": "Canby",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970137829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkadow1003110@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "18040 SW Lower Boones Ferry Rd Ste 100",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972247259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkadow1003110@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "16180 SE Sunnyside Rd Ste 102",
            "city": "Happy Valley",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970156302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkadow1003110@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "12442 SW Scholls Ferry Rd Ste 100",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972230803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkadow1003110@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "10670 NE Cornell Rd Ste 101",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971249221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.