Individual provider Active NPI

Kiira M Tietjen, DNP ARNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1366992091
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60658033 Issued in WA
Practice address
222 W Mission Ave Ste 30
Spokane, WA 99201-2347
Phone
(509) 934-0245
Fax
(612) 439-7181
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60658033 WA Primary

Addresses

Primary practice location

222 W Mission Ave Ste 30
Spokane, WA 99201-2347

Mailing address

20006 E Knox CT
Liberty Lake, WA 99016-9222
Phone (509) 953-6381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161202000652 WA Practitioner - Nurse Practitioner 3779863071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Chapter TMS LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

140 S Arthur St
Ste 506
Spokane, WA 99202
Phone (509) 934-0245

Interoperability endpoints

  • Direct secure messaging: ktietjen991813@wm.providencedirect.org
  • Direct secure messaging: kiira.tietjen@489656322949124.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1366992091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20006 E KNOX CT",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990169222",
            "telephone_number": "509-953-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MISSION AVE STE 30",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012347",
            "telephone_number": "509-934-0245",
            "fax_number": "612-439-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETJEN",
        "first_name": "KIIRA",
        "middle_name": "M",
        "credential": "DNP ARNP  PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60658033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.