Kerry Elizabeth Lisitsky, DACM, LAC, MS, OT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC228771 Issued in OR

Practice address

248 3Rd St N
Manzanita, OR 97130-9083

Phone

(716) 863-7939

NPI assigned

Mar 31, 2015

Last updated

Oct 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1144615840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571",
            "city": "MANZANITA",
            "state": "OR",
            "postal_code": "971300571",
            "telephone_number": "716-863-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 3RD ST N",
            "city": "MANZANITA",
            "state": "OR",
            "postal_code": "971309083",
            "telephone_number": "716-863-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISITSKY",
        "first_name": "KERRY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DACM, LAC, MS, OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC228771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Manzanita, OR
• Providers in Manzanita, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.