Active NPI
Krysta Stickler, D.C.
- Pediatric Chiropractor
- Pueblo, CO
National Provider Identifier
1295082428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 6891
- Practice address
- 1504 Sandpiper PL
Pueblo, CO 81006-9751 - Phone
- (719) 568-0026
- NPI assigned
- Aug 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 6891 | CO | Primary |
Addresses
Primary practice location
1504 Sandpiper PL
Pueblo, CO 81006-9751
Mailing address
1504 Sandpiper PL
Pueblo, CO 81006-9751
Phone (719) 568-0026
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 |
|---|---|---|---|
| 6891 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1295082428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 SANDPIPER PL",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810069751",
"telephone_number": "719-568-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 SANDPIPER PL",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810069751",
"telephone_number": "719-568-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICKLER",
"first_name": "KRYSTA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CO",
"license": "6891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.