Individual provider Active NPI

Kristine Stockfisch, D.C.

  • Chiropractor
  • Great Barrington, MA
National Provider Identifier
1386963395
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2378 Issued in MA
Practice address
405 Stockbridge Rd
C/O Vitality Chiropractic
Great Barrington, MA 01230-1233
Phone
(413) 644-6402
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH2378 MA Primary
Pediatric Chiropractor 111NP0017X CH2378 MA

Addresses

Primary practice location

405 Stockbridge Rd
C/O Vitality Chiropractic
Great Barrington, MA 01230-1233

Mailing address

405 Stockbridge Rd
C/O Vitality Chiropractic
Great Barrington, MA 01230-1233
Phone (413) 644-6402

Other names 1

  • Dr. Kristine Olsen Professional name

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

LicenseStateTypeSpecialty
CH2378MAMDPediatric Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1386963395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STOCKBRIDGE RD",
            "address_2": "C/O VITALITY CHIROPRACTIC",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301233",
            "telephone_number": "413-644-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STOCKBRIDGE RD",
            "address_2": "C/O VITALITY CHIROPRACTIC",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301233",
            "telephone_number": "413-644-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKFISCH",
        "first_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH2378",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MA",
            "license": "CH2378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "OLSEN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Great Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.