Karen Ann Rydell, RN, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

086000043N3 ANP Issued in OR

Practice address

6350 NE Halsey St
Portland, OR 97213-4720

Phone

(503) 215-2669

Fax

(503) 215-8465

NPI assigned

Aug 22, 2005

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

Other names 1

• Karen Rydell Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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

• Providence Health & Services Oregon

  • Clinical Pathology Physician
  • Hood River, OR
  • NPI 1053862714
  Medicare reassignment NPD
• Providence Health & Services Oregon

  • Rural Health Clinic/Center
  • Hood River, OR
  • NPI 1073100095
  NPD
• The Oregon Clinic PC

  • Specialist
  • Portland, OR
  • NPI 1265417174
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1922090232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 NE 99TH AVE",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209442",
            "telephone_number": "503-962-1000",
            "fax_number": "503-962-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134720",
            "telephone_number": "503-215-2669",
            "fax_number": "503-215-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDELL",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "RN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "086000043N3 ANP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291783",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krydell113552@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "6350 NE Halsey St # 300",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972134720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "RYDELL",
            "credential": "RN, ANP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William D Ryan, M.D.
• Willow Ryan, LMT
• John A Rybak, L.AC.
• Rebecca Rydberg
• Kimberly Ann Rydbom, D.O
• Rebecca Clare Ryder-Naber
• Brian Lavern Ryder, CRNA
• Frank Ryder, CST
• Paige Kathleen Ryder
• Chara Elaine Rydzak, MD

• 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 Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.