Organization Active NPI

Redemption Ridge

  • Community/Behavioral Health Agency
  • Medford, OR
National Provider Identifier
1386091569
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REDEMPTION RIDGE
Practice address
503 Airport Rd Ste 103
Medford, OR 97504-4159
Phone
(541) 816-4415
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Kathie Kapple
Title
Executive Director
Phone
(541) 816-4415

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

503 Airport Rd Ste 103
Medford, OR 97504-4159

Mailing address

711 Medford Ctr # 264
Medford, OR 97504-6772

National Provider Directory

National Provider Directory

Locations

503 Airport Rd
Ste 103
Medford, OR 97504
Phone (541) 816-4415

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1386091569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 MEDFORD CTR # 264",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 AIRPORT RD STE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044159",
            "telephone_number": "541-816-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTION RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "KAPPLE",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-816-4415"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.