Individual provider Active NPI

Katherine Ann Hinshaw, O.D.

  • Optometrist
  • Hillsboro, OR
National Provider Identifier
1992867550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1485T Issued in OR
Practice address
1075 SE Baseline St
Ste. J
Hillsboro, OR 97123-4394
Phone
(503) 693-7356
Fax
(503) 640-4128
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1485T OR Primary

Addresses

Primary practice location

1075 SE Baseline St
Ste. J
Hillsboro, OR 97123-4394

Mailing address

1075 SE Baseline St
Ste. J
Hillsboro, OR 97123-4394
Phone (503) 693-7356

Other identifiers 1

IdentifierTypeStateIssuer
212389OtherORMESO ID

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

State licenses

LicenseStateTypeSpecialty
1485TORMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992867550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SE BASELINE ST",
            "address_2": "STE. J",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234394",
            "telephone_number": "503-693-7356",
            "fax_number": "503-640-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SE BASELINE ST",
            "address_2": "STE. J",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234394",
            "telephone_number": "503-693-7356",
            "fax_number": "503-640-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSHAW",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1485T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MESO ID",
            "identifier": "212389",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.