Individual provider Active NPI

Kathleen Elizabeth Butler, CNM

  • Advanced Practice Midwife
  • Portland, OR
National Provider Identifier
1952996332
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
202111765NP-PP Issued in OR
Practice address
10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone
(503) 261-4423
Fax
(503) 261-4424
NPI assigned
Mar 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 202111765NP-PP OR Primary
Advanced Practice Midwife 367A00000X APN.0996302-CNM CO

Addresses

Primary practice location

10101 SE Main St Ste 3001
Portland, OR 97216-2458

Mailing address

10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone (503) 261-4423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220127002442 OR Practitioner - Certified Nurse Midwife (CNM) 3870985609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

Practice addresses (Care Compare)

10101 SE Main St
Suite 3001
Portland, OR 97216-2458
Phone (503) 261-4423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APN.0996302-CNMCOMDAdvanced Practice Midwife
202111765NP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince Jul 30, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince Oct 17, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 30, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince Oct 17, 2022 Accepting new patients
Northwest Urology, LLC Past Accepting new patients
Women's Healthcare Associates, LLC PastSince Sep 3, 2025 Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

10101 SE Main St
Ste 3001
Portland, OR 97216
Phone (503) 255-2667

Interoperability endpoints

  • Direct secure messaging: kbutler154932@direct.ohsu.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1952996332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 3001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162458",
            "telephone_number": "503-261-4423",
            "fax_number": "503-261-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 3001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162458",
            "telephone_number": "503-261-4423",
            "fax_number": "503-261-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "202111765NP-PP",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0996302-CNM",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.