Samantha Kapp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52165 Issued in OR

Practice address

5847 NE 122ND Ave Ste 101
Portland, OR 97230-1079

Phone

(971) 339-7040

NPI assigned

Apr 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Samantha Jo Bullard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1497319610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 NE 122ND AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301079",
            "telephone_number": "971-339-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 NE 122ND AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301079",
            "telephone_number": "971-339-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2676 River Rd S Apt E",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973025800",
            "country_code": "US",
            "telephone_number": "605-222-1035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPP",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "1-21-52165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BULLARD",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Elizabeth Kaplan, D.O.
• Paul D Kaplan, MD
• Stephanie Deborah Kaplan, N.D.
• Gwendolyn Kaplin
• Joseph Patrick Kapp IV, LCSW
• Anne Kappel
• Dana L Kappen LCSW, LCSW
• Joji Kappes, M.D.
• Kyndra Kappesser
• Danylle Oldis Kappler, M.D.

• Behavior Analyst in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.