Individual provider Active NPI

Kristin Tiernan, PSYD

  • Psychologist
  • Kent, WA
National Provider Identifier
1427336395
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
403 E Meeker St Ste 200
Kent, WA 98030-5904
Phone
(253) 852-2866
NPI assigned
Jul 26, 2011
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

403 E Meeker St Ste 200
Kent, WA 98030-5904

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktiernan21786@healthpoint.direct-ci.com

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121002737 WA Practitioner - Clinical Psychologist 5395048516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HealthpointGroup PAC ID 9335042886, 175 clinicians

Practice addresses (Care Compare)

403 E Meeker St
Suite 200
Kent, WA 98030-5904
Phone (253) 852-2866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint CurrentSince Dec 1, 2015 Accepting new patients
Healthpoint CurrentSince Dec 1, 2015 Accepting new patients
Healthpoint Current Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

400 S 2nd St
Renton, WA 98057
Phone (425) 204-3400

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

Interoperability endpoints

  • Direct secure messaging: kristin.tiernan.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: ktiernan21786@healthpoint.direct-ci.com

Organizations & group practices 3

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1427336395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MEEKER ST STE 200",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305904",
            "telephone_number": "253-852-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNAN",
        "first_name": "KRISTIN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktiernan21786@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "403 E Meeker St Ste 200",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980305904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.