Individual provider Active NPI

Nancy Jane Kalvelage, N.P.

  • Women's Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1790809812
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
000030095N7 Issued in OR
Practice address
0615 SW Palatine Hill Rd
Portland, OR 97219-7879
Phone
(503) 768-7165
Fax
(503) 768-7167
NPI assigned
Mar 16, 2007
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 000030095N7 OR Primary

Addresses

Primary practice location

0615 SW Palatine Hill Rd
Portland, OR 97219-7879

Mailing address

16491 S Bradley Rd
Oregon City, OR 97045-8715
Phone (503) 631-7916

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790809812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16491 S BRADLEY RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458715",
            "telephone_number": "503-631-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0615 SW PALATINE HILL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197879",
            "telephone_number": "503-768-7165",
            "fax_number": "503-768-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALVELAGE",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "000030095N7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.