Individual provider Active NPI

Beth H Paraskeva, GNP,ANP

  • Adult Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1720183825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
OR 091006003N4 Issued in OR
Practice address
2701 NW Vaughn St
Portland, OR 97210-5311
Phone
(503) 721-6800
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X OR 091006003N4 OR Primary
Adult Health Nurse Practitioner 363LA2200X WA AP30006346 WA

Addresses

Primary practice location

2701 NW Vaughn St
Portland, OR 97210-5311

Mailing address

5094 NE Saddle CT
Hillsboro, OR 97124-6092
Phone (503) 615-8085

Other names 1

  • Beth H Patterson Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
OR 091006003N4ORMDAdult Health Nurse Practitioner
WA AP30006346WAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720183825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5094 NE SADDLE CT",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246092",
            "telephone_number": "503-615-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NW VAUGHN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105311",
            "telephone_number": "503-721-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARASKEVA",
        "first_name": "BETH",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "GNP,ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "OR 091006003N4",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "WA  AP30006346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "PATTERSON",
            "middle_name": "H",
            "credential": "GNP,ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.