Kristin Anne Contreras

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4850 SW 11TH St Apt 110
Gresham, OR 97080-7312

Phone

(503) 866-6200

NPI assigned

Jan 2, 2020

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

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1659910073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SW 11TH ST APT 110",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SW 11TH ST APT 110",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807312",
            "telephone_number": "503-866-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Grant Conley
• Connected Space Counseling, LLC
• Caolan Donal Conry
• Dorothy Contreras-Sandoval
• Kimberly Contreras, OTR/L
• Heather Alison Cook, LMT
• Justina Marie Cook, CADCI,QMHA-R
• Emily Elizabeth Cooke, RDH, BSDH
• Gary Stewart Cooke, D.M.D.
• Andrew Cooley

• Case Manager/Care Coordinator in Gresham, OR
• Providers in Gresham, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.