Active NPI
Kathryn Ann Todd, MD
- Pediatrics Physician
- Aloha, OR
National Provider Identifier
1770652638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD16676
- Practice address
- 20110 SW Alexander St
Aloha, OR 97006 - Phone
- (503) 649-3213
- Fax
- (503) 642-7818
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD16676 | OR | Primary |
Addresses
Primary practice location
20110 SW Alexander St
Aloha, OR 97006
Mailing address
PO Box 5759
Aloha, OR 97007
Phone (503) 649-3213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042072 | Medicaid | OR |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16676 | OR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1770652638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5759",
"city": "ALOHA",
"state": "OR",
"postal_code": "97007",
"telephone_number": "503-649-3213",
"fax_number": "503-642-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20110 SW ALEXANDER ST",
"city": "ALOHA",
"state": "OR",
"postal_code": "97006",
"telephone_number": "503-649-3213",
"fax_number": "503-642-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "KATHRYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD16676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042072",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.