Individual provider Active NPI

Rogan Karl Kahale Tinsley, CB

  • Behavior Technician
  • Spokane, WA
National Provider Identifier
1164023487
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
61110244 Issued in WA
Practice address
707 W 7TH Ave Ste 200
Spokane, WA 99204-2833
Phone
(509) 850-1080
NPI assigned
Nov 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 61110244 WA Primary

Addresses

Primary practice location

707 W 7TH Ave Ste 200
Spokane, WA 99204-2833

Mailing address

1424 E Pinecrest Rd
Spokane, WA 99203-3924
Phone (208) 964-6337

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
61110244WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennyfarthing LLC Behavior Technician CurrentSince Nov 8, 2020 Accepting new patients
Pennyfarthing Applied Behavior Analysis Behavior Technician CurrentSince Sep 23, 2021 Accepting new patients

Locations

707 W 7th Ave
Ste 200
Spokane, WA 99204
Phone (509) 850-1080

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1164023487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 E PINECREST RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033924",
            "telephone_number": "208-964-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042833",
            "telephone_number": "509-850-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "ROGAN",
        "middle_name": "KARL KAHALE",
        "credential": "CB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "61110244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.