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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
801 W 5th Ave Ste 422, Spokane, WA 992042841 | 5098382531 | 5097556580 |
Street Address |
235 E ROWAN AVE STE 107 |
City | SPOKANE |
State | WA |
Zip Code | 99207-1240 |
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 |
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 Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
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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.