Active NPI
Ilene Joy Kapp-Harris
- Pediatric Nurse Practitioner
- Hillsboro, OR
National Provider Identifier
1891806451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- OR 082010818N2
- Practice address
- 19400 NW Evergreen Pkwy
Hillsboro, OR 97124-7031 - Phone
- (503) 617-2331
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | OR 082010818N2 | OR | Primary |
Addresses
Primary practice location
19400 NW Evergreen Pkwy
Hillsboro, OR 97124-7031
Mailing address
PO Box 567
Lake Oswego, OR 97034-0062
Other names 1
- Ilene Joy Kapp Harris
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR 082010818N2 | OR | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1891806451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 567",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970340062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19400 NW EVERGREEN PKWY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247031",
"telephone_number": "503-617-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPP-HARRIS",
"first_name": "ILENE",
"middle_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OR",
"license": "OR 082010818N2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ILENE",
"last_name": "HARRIS",
"middle_name": "JOY KAPP",
"credential": "RN PNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.