Kathryn Ann Hanavan, RN MSN ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

079044074N3 ANP-PP Issued in OR

Practice address

3181 SW Sam Jackson Park Rd
Op05Dc
Portland, OR 97239-3011

Phone

(503) 494-8311

Fax

(503) 494-4781

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy Clinic LLC

  • Allergy Physician
  • Portland, OR
  • NPI 1679790604
  NPD (past)
• Barzin Khalili, M.D., LLC

  dba Allergy Clinic

  • Allergy & Immunology Physician
  • Portland, OR
  • NPI 1003005711
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811035777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14319 ORCHARD SPRINGS RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356541",
            "telephone_number": "503-699-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "OP05DC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8311",
            "fax_number": "503-494-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAVAN",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN MSN ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "079044074N3 ANP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hana Paterno ND LLC
• Ahmed Hanafy, MD
• Lynette Hanai, MEDICAL STUDENT
• Elika Renee Hanamura, CD
• Vanessa Hanashey-Kinzel
• Natalia Hanavan, CPO
• Emi Hanawa, LPC
• Annie C Hanaway, N.D.
• Larry M Hanberg, D.C.
• Lawrence Hanbrook, RN

• Adult Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• 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.