Individual provider Active NPI

Faith N Kirirah, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1942914239
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10026637 Issued in OR
Practice address
1020 SW Taylor St
Portland, OR 97205-2543
Phone
(833) 931-1716
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 28204440A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10026637 OR Primary

Addresses

Primary practice location

1020 SW Taylor St
Portland, OR 97205-2543

Mailing address

582 Market St Ste 1608
San Francisco, CA 94104-5317
Phone (833) 931-1716

Other practice location 1

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-0000

Other identifiers 1

IdentifierTypeStateIssuer
23098844MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814002237 OR Practitioner - Nurse Practitioner 0648779017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sam-U-L LLCGroup PAC ID 4486004819, 4 clinicians

Practice addresses (Care Compare)

12725 SW Millikan Way
Beaverton, OR 97005-1678

12725 SW Millikan Way
Suite 300
Beaverton, OR 97005-1687
Phone (971) 777-3319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28204440AINMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sam-U-L, LLC Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Safari Mental Health and Wellness LLC Current Accepting new patients
Well Coast Psychiatric Inc. a Nursing Corp Psychiatric/Mental Health PastSince Jul 22, 2025 Accepting new patients

Locations

12725 SW Millikan Way
Ste 300
Beaverton, OR 97005
Phone (503) 303-0304

Interoperability endpoints

  • Direct secure messaging: faith.kirirah.1@31628.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1942914239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045317",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "833-931-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Eskenazi Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025187",
            "country_code": "US",
            "telephone_number": "317-880-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRIRAH",
        "first_name": "FAITH",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "IN",
            "license": "28204440A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10026637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23098844",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.