Individual provider Active NPI

Kara Mae Romriell

  • Behavior Analyst
  • Hillsboro, OR
National Provider Identifier
1942804000
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
ABA-IN-10211271 Issued in OR
Practice address
3669 NE John Olsen Ave
Hillsboro, OR 97124-5815
Phone
(503) 927-1179
NPI assigned
Nov 29, 2020
Reactivated
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X ABA-IN-10211271 OR Primary

Addresses

Primary practice location

3669 NE John Olsen Ave
Hillsboro, OR 97124-5815

Mailing address

2255 SW 188TH CT
Aloha, OR 97003-3047
Phone (707) 535-6862

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

State licenses

LicenseStateTypeSpecialty
ABA-IN-10211271ORMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Aac4Kids CurrentSince Nov 17, 2024 Accepting new patients
Little Moutain ABA LLC Behavior Analyst PastSince Dec 6, 2020 Accepting new patients

Locations

3669 NE John Olsen Ave
Hillsboro, OR 97124
Phone (503) 688-0616

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1942804000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 SW 188TH CT",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970033047",
            "telephone_number": "707-535-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3669 NE JOHN OLSEN AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245815",
            "telephone_number": "503-927-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMRIELL",
        "first_name": "KARA",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2024-05-10",
        "certification_date": "2020-11-29",
        "deactivation_date": "2024-04-16",
        "reactivation_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "ABA-IN-10211271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.