Active NPI
Emily Koziatek, L.M.T.
- Specialist
- Eugene, OR
National Provider Identifier
1073819173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16336
- Practice address
- 1245 Charnelton St Ste 6
Eugene, OR 97401-6206 - Phone
- (541) 232-2992
- NPI assigned
- Feb 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 16336 | OR | Primary |
Addresses
Primary practice location
1245 Charnelton St Ste 6
Eugene, OR 97401-6206
Mailing address
467 River Rd
Eugene, OR 97404-3210
Phone (541) 232-2992
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16336 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1073819173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 RIVER RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974043210",
"telephone_number": "541-232-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 CHARNELTON ST STE 6",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016206",
"telephone_number": "541-232-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZIATEK",
"first_name": "EMILY",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-07",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "16336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.