KIIRA M TIETJEN


Address: 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240
Phone: 5092526446

KIIRA M TIETJEN (NPI# 1366992091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366992091
Entity Type Individual
Full Name KIIRA M TIETJEN
Practice Address 235 E Rowan Ave Ste 107
Spokane
WA 99207-1240
Mailing Address Po Box 3649
Spokane
WA 99220-3649
Practice Telephone 5092526446
Practice Fax Number 5092277070
Enumeration Date 2016-10-05
Last Update Date 2019-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP60658033 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
801 W 5th Ave Ste 422, Spokane, WA 992042841 5098382531 5097556580

Office Location

Street Address 235 E ROWAN AVE STE 107
City SPOKANE
State WA
Zip Code 99207-1240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346484276 Sara M Clark Psychiatry & Neurology 235 E Rowan Ave Ste 107, Spokane, WA 99207 2009-04-22
1366090110 Rhiannon A Armstrong Registered Nurse 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 2019-08-26
1871089698 Christopher Robin Carver Social Worker 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 2018-07-04
1013403955 Kolbi Marie Peach Social Worker 235 E Rowan Ave Ste 107, Spokane, WA 99207 2018-07-03
1598208266 Catherine Crompton Mcenderfer Social Worker 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 2016-11-29
1124473087 Laura Ann Berg Social Worker 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 2016-04-28
1124412937 Heidi Anderson Social Worker 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 2015-03-19
1346550704 Chelsie Lokelani Diaz Social Worker 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 2010-10-19
1154646412 Deanna M Fofanoff Counselor 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 2010-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437669231 Rebecca Althouse Massage Therapist 59 E. Queen Ave. Suite 104, Spokane, WA 99207 2017-10-05
1891142105 Kathleen Annette Love Counselor 2702 N. Perry, Spokane, WA 99207 2016-05-17
1184094831 Rachel Robles Massage Therapist 514 E. Providence Ave, Spokane, WA 99207 2015-10-06
1114345022 Lindsay Urso Physician Assistant 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 2014-03-29
1780936930 Amber Elizabeth Riemersma Midwife 127 E Eculid, Spokane, WA 99207 2012-10-12
1376816108 Michelle Christine Rees Massage Therapist 1504 E. Everett, Spokane, WA 99207 2012-02-09
1750658241 Zita Lindell Nickeson Counselor 4407 N. Division Suite 304, Spokane, WA 99207 2011-11-28
1912282989 Carolyn C Millen Pharmacist 12 E. Empire Ave, Spokane, WA 99207 2011-10-20
1316222730 Brooke Pickering Pharmacist 12 E Empire, Spokane, WA 99207 2011-10-17
1891001277 Providence Physician Services Co Pediatrics 5901 N Linderwood, Suite 126, Spokane, WA 99207 2010-08-24
Find all providers in zip 99207

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619576774 Bethany Heath Arnp-pmhnp Pllc Nurse Practitioner 1224 West Riverside, Apt 408, Spokane, WA 99201 2020-10-20
1386254290 Candie M. Wellwood Nurse Practitioner 9908 S Sherman Rd, Spokane, WA 99224-9811 2020-08-05
1104434679 Progressive Psychiatric Consultant Nurse Practitioner 170 S Lincoln St # 150, Spokane, WA 99201-4443 2020-07-21
1376104232 Bethany Ann Heath Nurse Practitioner 5420 W Barnes Rd Apt 206, Spokane, WA 99208-7031 2019-06-21
1467948471 Nicholas Goodwin Nurse Practitioner 1106 W Garland Ave, Spokane, WA 99205-2735 2018-07-03
1770095325 Erin Ryan Nurse Practitioner 1013 W Briar Cliff Dr, Spokane, WA 99218-2416 2017-11-03
1972967305 Roberta Plunkett Nurse Practitioner 140 S. Arthur St., Suite 415, Spokane, WA 99202 2016-04-12
1861815037 Michael Jude Lynch Nurse Practitioner 2136 W Riverside Ave, Spokane, WA 99201-1444 2014-01-24
1245507664 Korsgaard Mental Health, Inc Nurse Practitioner 140 S 140 Arthur St, Ste 415, Spokane, WA 99202-2220 2011-11-30
1427247410 Kristin Angelic Miller Nurse Practitioner 3711 W Woodside Ave, Spokane, WA 99208-4860 2007-10-16
Find all providers in SPOKANE

Competitor

Search similar providers

City SPOKANE
Zip Code 99207

Improve Information

Please comment or provide details below to improve the information on KIIRA M TIETJEN.

Dataset Information

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.

Trending Searches