Individual provider Active NPI

Katharine Theresa Mitchell, FNP

  • Family Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1871800615
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201250033 Issued in OR
Practice address
12345 SW Horizon Blvd Ste 57a
Beaverton, OR 97007-9475
Phone
(971) 326-8718
NPI assigned
Aug 31, 2010
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60268388 WA
Family Nurse Practitioner 363LF0000X 201250033 OR Primary

Addresses

Primary practice location

12345 SW Horizon Blvd Ste 57a
Beaverton, OR 97007-9475

Mailing address

12345 SW Horizon Blvd Ste 57a
Beaverton, OR 97007-9475

Other practice location 1

1905 SE 164th Ave
Vancouver, WA 98683-8937
Phone (360) 836-3396

Other practice location 2

101 NW 12th Ave Ste 107
Battle Ground, WA 98604-9141
Phone (360) 687-6650

Other practice location 3

9155 SW Barnes Rd
Portland, OR 97225-6625
Phone (503) 297-6334

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kmitchell126725@wm.providencedirect.org Direct
Direct Messaging Address kmitchell126725@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120913000133 OR Practitioner - Nurse Practitioner 9830347046
I20130523000739 WA Practitioner - Nurse Practitioner 9830347046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose Medical Groups PCGroup PAC ID 9335430677, 9 clinicians

Practice addresses (Care Compare)

650 N Devine Rd
Suite B
Vancouver, WA 98661-6979
Phone (360) 952-4457

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201250033ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Medical Groups, PC CurrentSince Feb 10, 2025 Accepting new patients

Locations

18 NW 20th Ave
Battle Ground, WA 98604
Phone (360) 952-4457

18 NW 20th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 952-4457

650 N Devine Rd
Ste B
Vancouver, WA 98661
Phone (360) 859-3280

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10370/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katharine.mitchell.1@10370.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1871800615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 SW HORIZON BLVD STE 57A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 SW HORIZON BLVD STE 57A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079475",
            "telephone_number": "971-326-8718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 SE 164th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986838937",
            "country_code": "US",
            "telephone_number": "360-836-3396",
            "fax_number": "360-216-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 NW 12th Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Battle Ground",
            "state": "WA",
            "postal_code": "986049141",
            "country_code": "US",
            "telephone_number": "360-687-6650",
            "fax_number": "360-687-6669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9155 SW Barnes Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256625",
            "country_code": "US",
            "telephone_number": "503-297-6334",
            "fax_number": "360-297-2360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KATHARINE",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60268388",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201250033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmitchell126725@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1905 SE 164th Ave",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986838937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmitchell126725@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 NW 12th Ave Ste 107",
            "city": "Battle Ground",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986049141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.