Individual provider Active NPI

Jasmine Sigala

  • Peer Specialist
  • Klamath Falls, OR
National Provider Identifier
1174391262
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
000110117 Issued in OR
Practice address
3206 Onyx Ave
Klamath Falls, OR 97603-7279
Phone
(541) 891-0194
NPI assigned
Dec 18, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 000110117 OR Primary

Addresses

Primary practice location

3206 Onyx Ave
Klamath Falls, OR 97603-7279

Mailing address

1943 Summers LN
Klamath Falls, OR 97603-4851
Phone (714) 328-0299

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
000110117ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tayas Yawks Peer Specialist CurrentSince Dec 24, 2023 Accepting new patients

Locations

3206 Onyx Ave
Klamath Falls, OR 97603
Phone (541) 363-1277

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1174391262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 SUMMERS LN",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034851",
            "telephone_number": "714-328-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 ONYX AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037279",
            "telephone_number": "541-891-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGALA",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "000110117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.