MS. MARY KRISTINE HORTON (NPI# 1043395619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043395619 |
| Entity Type | Individual |
| Full Name | MS. MARY KRISTINE HORTON |
| Credential | A.N.P. |
| Practice Address |
2701 Nw Vaughn St #305 Portland OR 97210-5311 |
| Mailing Address |
12381 Se Crest Way Happy Valley OR 97236-6177 |
| Practice Telephone | 5032798252 |
| Practice Fax Number | 5032798926 |
| Mailing Telephone | 5034212367 |
| Mailing Fax Number | 5032798926 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
000026282N3 ANP- | OR | Physician Assistants & Advanced Practice Nursing Providers |
| X | 163W00000X | Registered Nurse | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 270439 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1154447878 | Mary Elizabeth Horton | Occupational Therapist | 3 Coventry Pl, Sandwich, MA 02563-2422 | 2007-03-22 |
| 1174086862 | Mary Horton | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2019-04-09 |
| 1154773604 | Mary Elizabeth Horton | Physical Therapist | 1015 12th Ave S, Nampa, ID 83651-4660 | 2016-07-08 |
| 1548578644 | Mary Colleen Horton | Physical Therapy Assistant | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2010-09-23 |
| 1194960575 | Mary Elizabeth Horton | Social Worker | 1030 Jenkins Rd, Charleston, SC 29407-5500 | 2008-12-12 |
| 1679746911 | Mary Yvonne Horton | Registered Nurse | 640 W Market St, Akron, OH 44303-1413 | 2008-04-08 |
| 1538278221 | Mary Catherine Horton | Social Worker | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2006-08-29 |
| Street Address |
2701 NW VAUGHN ST #305 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366424228 | Todd Jason Cruz | Physical Therapist | 2701 Nw Vaughn St, Ste 155, Portland, OR 97210-5311 | 2005-11-16 |
| 1568008803 | Jeffrey Allen Cusumano | Physical Therapist | 2701 Nw Vaughn St, Portland, OR 97210-5311 | 2019-11-21 |
| 1255855706 | Amanda J Tudeen | Occupational Therapist | 2701 Nw Vaughn St, Portland, OR 97210-5311 | 2017-07-26 |
| 1952822272 | Hannah Jane Winchester | Physical Therapist | 2701 Nw Vaughn St, Portland, OR 97210-5311 | 2017-06-28 |
| 1982078945 | Ashlee Irwin | Social Worker | 2701 Nw Vaughn St, Portland, OR 97210-5311 | 2015-11-13 |
| 1073905543 | Alejandro Nevarez | Social Worker | 2701 Nw Vaughn St, Suite 140, Portland, OR 97210-5311 | 2015-02-20 |
| 1235552209 | Christopher Danish | Social Worker | 2701 Nw Vaughn St, Suite 140, Portland, OR 97210 | 2014-01-28 |
| 1407285836 | Catherine S. Chow | Dietitian, Registered | 2701 Nw Vaughn St, Portland, OR 97210-5311 | 2013-11-06 |
| 1003181983 | Jeni Lynne Shilman | Social Worker | 2701 Nw Vaughn St, Portland, OR 97210-5311 | 2012-03-12 |
| 1558635078 | Mary Robinette H Fitzsimmons | Social Worker | 2701 Nw Vaughn St, Ste 140, Portland, OR 97210-5311 | 2012-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1497309652 | Dorothy Elizabeth Zirkle | Nurse Practitioner | 66 Bramhall St Ste Gi, Portland, ME 04102-3344 | 2019-07-26 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1154694941 | Donald Upton | Nurse Practitioner | 6959 N Fenwick Ave, Portland, OR 97217-5305 | 2012-02-09 |
| 1497073936 | Jeffrey Grimm | Nurse Practitioner | 1741 Nw 24th Ave, Portland, OR 97210 | 2010-05-07 |
| 1548469869 | Ashlyn J Cross | Nurse Practitioner | Department of Dermatology 3303 Bond Ave., Portland, OR 97239-4501 | 2007-07-17 |
| 1326256959 | Mary Thompson Pierce | Nurse Practitioner | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2533 | 2007-05-18 |
| 1669595237 | Shannon Marie Gwartney | Nurse Practitioner | 808 Sw 15th Ave., Portland, OR 97205 | 2007-04-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.