Katherine Reis, NURSE PRACTITIONER

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

201700405NP-PP Issued in OR

Practice address

12525 SE Crest Way
Happy Valley, OR 97086

Phone

(503) 683-3627

Fax

(402) 695-4629

NPI assigned

Jul 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Reis Cahill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Red Clover Wellness

  • Psychiatry Physician
  • Happy Valley, OR
  • NPI 1861033573

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1992050249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 SE SUNNYSIDE RD # 511",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158382",
            "telephone_number": "503-683-3627",
            "fax_number": "402-695-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 SE CREST WAY",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-683-3627",
            "fax_number": "402-695-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "KATHERINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "201700405NP-PP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "TBD",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "CAHILL",
            "middle_name": "REIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Akanksha Rajeurs, M.D.
• Rajesh Gade Rao, PA-C
• Jamie Anne Raskauskas, PTA,LMT
• Red Clover Wellness
• Sebastian J Reeve, MD
• Nicholas Revilla
• Cindy Rho
• Emily Ann Ricard, DPT
• Jonathan Rice, DPT
• Scott Fischer Riedel, ND

• Psychiatry Physician in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.