Kristie L. Knows His Gun, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2677 Issued in OR

Practice address

307 E 2ND St
Ste 250
Newberg, OR 97132-3076

Phone

(971) 832-8550

Fax

(971) 832-8551

NPI assigned

Sep 20, 2012

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

Enrolled in TX, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chemawa Indian Health Center DHHS IHS Western Oregon Serv UnitGroup PAC ID 1759307796, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Chemawa Indian Health Center DHHS IHS Western Oregon Serv Unit

  • Multi-Specialty Clinic/Center
  • Salem, OR
  • NPI 1578565347

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1174874812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E 2ND ST",
            "address_2": "STE 250",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323076",
            "telephone_number": "971-832-8550",
            "fax_number": "971-832-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 2ND ST",
            "address_2": "STE 250",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323076",
            "telephone_number": "971-832-8550",
            "fax_number": "971-832-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWS HIS GUN",
        "first_name": "KRISTIE",
        "middle_name": "L.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• May Khadem, M.D.
• Katherine Garnet Khaw, COTA
• Jasen John King, LMT
• Leanne Klein
• Matthew M Klein, DPT
• Liang-Chieh Ko
• Jesrael Kohlhof
• Erica Koltenuk, CNM
• Amy Kopsa, LMFT
• Tyleur Janel Kotzian-Upshaw

• Clinical Psychologist in Newberg, OR
• Providers in Newberg, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.