Tara S. Kirkpatrick Graham, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

200650152NP Issued in OR

Practice address

2801 N Gantenbein Ave
Portland, OR 97227-1623

Phone

(503) 413-1867

Fax

(503) 413-2580

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tara S. Kirkpatrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: tgraham76965@direct.peacehealth.org

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1740407683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N GANTENBEIN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271623",
            "telephone_number": "503-413-1867",
            "fax_number": "503-413-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N GANTENBEIN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271623",
            "telephone_number": "503-413-1867",
            "fax_number": "503-413-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK GRAHAM",
        "first_name": "TARA",
        "middle_name": "S.",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OR",
            "license": "200650152NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271141",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "KIRKPATRICK",
            "middle_name": "S.",
            "credential": "NNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alana Kirkendall
• Eric Blaine Kirker, MD
• Nicole M Kirker, NP
• Katherine Kirkham, LAC
• Catherine Elizabeth Kirkman, PT
• Cindy Marie Kirkpatrick, LCSW
• Joel T Kirkpatrick
• Kate Nicole Kirkpatrick, PDSP
• Melissa B Kirkpatrick, ED.S.
• Ryan Kirkpatrick, PHARMD

• Neonatal Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Neonatal Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.