Active NPI
Nichole Kinzer
- Other Technician
- Beaverton, OR
National Provider Identifier
1962891341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1920 NW Amberglen Pkwy
Suite 150
Beaverton, OR 97006-6980 - Phone
- (971) 327-4356
- Fax
- (971) 228-2177
- NPI assigned
- Jan 22, 2015
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1920 NW Amberglen Pkwy
Suite 150
Beaverton, OR 97006-6980
Mailing address
1920 NW Amberglen Pkwy
Suite 150
Beaverton, OR 97006-6980
Phone (971) 327-4356
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Well PDX P C | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Beaverton, OR
- NPI 1487998647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1962891341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 NW AMBERGLEN PKWY",
"address_2": "SUITE 150",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066980",
"telephone_number": "971-327-4356",
"fax_number": "971-228-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 NW AMBERGLEN PKWY",
"address_2": "SUITE 150",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066980",
"telephone_number": "971-327-4356",
"fax_number": "971-228-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINZER",
"first_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.