Chris Jan Czyzun, B.S.W.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1093311771 Issued in WA

Practice address

500 N Morain St
Kennewick, WA 99336-2950

Phone

(509) 783-0500

NPI assigned

Dec 8, 2020

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Our Lady of Lourdes Hosptial at Pasco

  • Community/Behavioral Health Agency
  • Kennewick, WA
  • NPI 1114476496
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1093311771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MORAIN ST STE 1250",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362967",
            "telephone_number": "509-783-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MORAIN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362950",
            "telephone_number": "509-783-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993015257",
            "country_code": "US",
            "telephone_number": "509-783-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZYZUN",
        "first_name": "CHRIS",
        "middle_name": "JAN",
        "name_prefix": "Mr.",
        "credential": "B.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "1093311771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Tyson Curtis, DO
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• Cynthia M. de Los Reyes, MD, PLLC
• Brandon Scott Czirr, OD
• Karl Brandon Czirr, O.D.
• Brooke Dahlke
• Abigail R Dale
• Shiloh Shane Dalton
• Dana Oatis, PLLC
• Winchester John Dang

• Peer Specialist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.