Amanda Kieser, BA

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

2329 4TH Ave
Seattle, WA 98121-1717

Phone

(206) 461-3649

NPI assigned

Dec 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 2, 2024 through Oct 2, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Community Psychiatric Clinic Inc

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1629120159
  NPD (past)
• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1639500580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 20TH AVE S",
            "address_2": "UNIT 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442967",
            "telephone_number": "360-434-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 4TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211717",
            "telephone_number": "206-461-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESER",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR AGENCY AFFILIATED",
            "identifier": "CG 60393424",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niamh Elizabeth Kieran, MD
• Brian A Kiernan, LICSW
• Elizabeth Kiernan
• Amy Kiesel
• Eric L. Kiesel, M.D., PH.D.
• Ken Kieswetter, LMP
• Catherine Kieu, PT
• Kimquy Kieu, MD, MPH
• Selam Kifle
• Yemiserach Kifle

• Case Management Agency in Seattle, WA
• Providers in Seattle, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.