Active NPI
Kirsten Garry
- Behavior Technician
- Eugene, OR
National Provider Identifier
1427641968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 100 Hatton Ave Apt 102
Eugene, OR 97404-6810 - Phone
- (717) 586-4243
- NPI assigned
- Feb 16, 2021
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | OR | Primary |
Addresses
Primary practice location
100 Hatton Ave Apt 102
Eugene, OR 97404-6810
Mailing address
1056 Green Acres Rd # 102-360
Eugene, OR 97408-1505
Phone (541) 224-6987
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Summit Behavioral Therapy, LLC | Behavior Technician | Current | Accepting new patients |
Locations
1056 Green Acres Rd
#102360
Eugene, OR 97408
Phone (541) 224-6987
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1427641968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1056 GREEN ACRES RD # 102-360",
"city": "EUGENE",
"state": "OR",
"postal_code": "974081505",
"telephone_number": "541-224-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HATTON AVE APT 102",
"city": "EUGENE",
"state": "OR",
"postal_code": "974046810",
"telephone_number": "717-586-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRY",
"first_name": "KIRSTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.