MR. NICHOLAS BURNHAM KINDER (NPI# 1841688421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841688421 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS BURNHAM KINDER |
| Practice Address |
501 N Graham St., Suite 200 Portland OR 97227 |
| Mailing Address |
Po Box 3777 Portland OR 97208-3777 |
| Practice Telephone | 5034137162 |
| Practice Fax Number | 5034134711 |
| Mailing Telephone | 5034133900 |
| Mailing Fax Number | 5034133710 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 201406454NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 N GRAHAM ST., SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235233 | David S. Peizner | Specialist | 501 N Graham St., Suite 200, Portland, OR 97227 | 2005-06-16 |
| 1134282932 | Amish J Desai | Internal Medicine | 501 N Graham St., Suite 200, Portland, OR 97227 | 2006-12-19 |
| 1437167962 | Pulla Raghuram Reddy | Internal Medicine | 501 N Graham St., Suite 200, Portland, OR 97227 | 2006-08-03 |
| 1548265457 | Ramnik S. Jhooty | Specialist | 501 N Graham St., Suite 200, Portland, OR 97227 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1174039325 | Gina Nicole Dasilva | Nurse Practitioner | 50 County Way, Portland, ME 04102-2755 | 2017-12-26 |
| 1609396746 | Maggie Michele Sexton | Nurse Practitioner | 2311 Nw Northrup St Ste 100, Portland, OR 97210-2912 | 2017-06-20 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1134585268 | Kathleen Klunk | Nurse Practitioner | 1400 Ne Alberta St, Portland, OR 97211-5044 | 2016-01-05 |
| 1427447143 | At Home Primary Care LLC. | Nurse Practitioner | 6400 Se Lake Rd # 420, Portland, OR 97222-2129 | 2015-01-19 |
| 1053753921 | Frederick Donald Watters | Nurse Practitioner | 66 Sherman St Apt 3, Portland, ME 04101 | 2013-07-22 |
| 1881033439 | Nicole M Baxter | Nurse Practitioner | 2187 Sw Main St Ste 101, Portland, OR 97205-1123 | 2013-06-17 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| 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.