Individual provider Active NPI

Kapra Jade Cooley-Rieders

  • Behavior Technician
  • Pocatello, ID
National Provider Identifier
1316814833
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
500 S 11TH Ave Ste 504
Pocatello, ID 83201-4881
Phone
(208) 478-9344
Fax
(208) 478-9368
NPI assigned
Oct 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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 Primary

Addresses

Primary practice location

500 S 11TH Ave Ste 504
Pocatello, ID 83201-4881

Mailing address

2222 Teton PLZ Ste 2
Idaho Falls, ID 83404-6485
Phone (208) 522-4026

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

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1316814833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 TETON PLZ STE 2",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046485",
            "telephone_number": "208-522-4026",
            "fax_number": "208-522-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 504",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014881",
            "telephone_number": "208-478-9344",
            "fax_number": "208-478-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY-RIEDERS",
        "first_name": "KAPRA",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.