Kyrsten Leslie Goldberg-Reistad, LA.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

168 Issued in MT

Practice address

2417 West Main St. Suite 1
Bozeman, MT 59718-5971

Phone

(406) 570-9407

NPI assigned

Mar 2, 2009

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

State licenses

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1386884450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 TALON WAY UNIT B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189352",
            "telephone_number": "406-570-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 WEST MAIN ST. SUITE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185971",
            "telephone_number": "406-570-9407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 N 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597152827",
            "country_code": "US",
            "telephone_number": "406-570-9407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG-REISTAD",
        "first_name": "KYRSTEN",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "LA.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MT",
            "license": "168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Acupuncturist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.