Kathryn Elizabeth Jepsen, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

078040076 Issued in OR

Practice address

3738 Sw16Th CT
Gresham, OR 97080-8300

Phone

(503) 492-7508

NPI assigned

Dec 1, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1912152182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 SW16TH CT",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808300",
            "telephone_number": "503-492-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 SW16TH CT",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808300",
            "telephone_number": "503-492-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OR",
            "license": "078040076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "695466",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jedlicka, SLP
• Ariel Jeffreys, LMT
• Ethan Jeffries, LMT
• Jonas Jenkins, MS, CCC-SLP
• Marteen Jensen, LPC
• Kayla Jerde, PA-C
• Emilee Nicole Jergensen, DC
• Courtney Monique Jessie, LPC
• Jill Turner ND PC
• Jiyoung E Lee DMD PC

• General Practice Registered Nurse in Gresham, OR
• Providers in Gresham, OR by specialty
• General Practice Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.