IndividualActive
Kiana Petersen
NPI 1184344608 · Community Health Worker · Bend, OR
Provider details
- NPI number
- 1184344608
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- THW000106121 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2200 Ne Professional Ct
Bend, OR 97701-6063
Phone: (541) 389-6313
Fax: (541) 389-8760
Street-level locationGet directions
Mailing address
2200 Ne Professional Ct
Bend, OR 97701-6063
Registry dates
- Enumerated
- 2022-09-02
- Last updated
- 2022-09-02
- Certified
- 2022-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.