Tierra Emmaly Kafel

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

KAFELTE005MB Issued in WA

Practice address

9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876

Phone

(971) 236-0915

NPI assigned

May 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tia Emmaly Kafel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1649837576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 INDIGO CT",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261882",
            "telephone_number": "360-846-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 SW OLESON RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236876",
            "telephone_number": "971-236-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFEL",
        "first_name": "TIERRA",
        "middle_name": "EMMALY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "KAFELTE005MB",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "912196637",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "KAFEL",
            "middle_name": "EMMALY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Collin S Kaeder, MD
• Colin Lee Kaehler
• Amy Kaehr
• Joseph William Kaempf, MD
• Michael Jerome Kaempf, MD
• Reza Kafi, MD
• Alison Kafka
• Samipya Kafle, MD
• Ann G. Kafoury, M.A., L.P.C.
• Odeya Noam Kagan, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; 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.