Kristen Rene Ell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD23074 Issued in OR

Practice address

15455 NW Greenbrier Pkwy
Ste 111
Beaverton, OR 97006-7374

Phone

(503) 531-3434

Fax

(503) 645-4544

NPI assigned

Jun 21, 2006

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

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kell11639@direct.lhs.org

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.

• Metropolitan Pediatrics, LLC

  • Pediatrics Physician
  • Portland, OR
  • NPI 1235131632
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1992741623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY",
            "address_2": "STE 111",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067374",
            "telephone_number": "503-466-1668",
            "fax_number": "503-439-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY",
            "address_2": "STE 111",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067374",
            "telephone_number": "503-531-3434",
            "fax_number": "503-645-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELL",
        "first_name": "KRISTEN",
        "middle_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD23074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287384",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ellhorn, LLC
• Janna Marie Ellings, CNM
• Ellington ADHD Clinic LLC
• Jessica Ellington, PMHNP
• Katelyn Brooke Elliott, RN, WHNP, CNM

• Pediatrics Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.