Active NPI
Catherine O Owen, ARNP
- Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1720155435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30006784
- Practice address
- 6926 NE Fourth Plain Blvd
Vancouver, WA 98661 - Phone
- (360) 993-3000
- Fax
- (360) 993-3047
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30006784 | WA | Primary |
Addresses
Primary practice location
6926 NE Fourth Plain Blvd
Vancouver, WA 98661
Mailing address
PO Box 1337
Vancouver, WA 98666-1337
Phone (360) 993-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9642349 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Connections | Current | Accepting new patients | |
| The Northwest Catholic Counseling Center | Past | Accepting new patients |
Locations
11719 NE 95th St
Ste Ad
Vancouver, WA 98682
Phone (360) 984-5511
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 and National Provider Directory roles.
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- NPI 1689892473
-
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- Portland, OR
- NPI 1619091279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1720155435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1337",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986661337",
"telephone_number": "360-993-3000",
"fax_number": "360-993-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6926 NE FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98661",
"telephone_number": "360-993-3000",
"fax_number": "360-993-3047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "CATHERINE",
"middle_name": "O",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30006784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9642349",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.