Active NPI
Kayla Cherie Priddy
- Community Health Worker
- Albany, OR
National Provider Identifier
1629626882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1305 Hill St SE
Albany, OR 97322-6711 - Phone
- (541) 730-8455
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OR | Primary |
Addresses
Primary practice location
1305 Hill St SE
Albany, OR 97322-6711
Mailing address
271 N Main St
Jefferson, OR 97325
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kpriddy@familytreern.org | Direct | Family Tree Relief Nursery |
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": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1629626882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 N MAIN ST",
"city": "JEFFERSON",
"state": "OR",
"postal_code": "97325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 HILL ST SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226711",
"telephone_number": "541-730-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIDDY",
"first_name": "KAYLA",
"middle_name": "CHERIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpriddy@familytreern.org",
"affiliation": "Y",
"affiliationName": "Family Tree Relief Nursery",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1305 Hill St SE",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973226711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.