Krishta C. Abruzzini, LMP

Primary specialty

NaprapathTaxonomy code 172P00000X

License

MA00022103 Issued in WA

Practice address

1104 Main St Ste 550D
Vancouver, WA 98660-2955

Phone

(360) 910-8065

NPI assigned

Oct 3, 2007

Last updated

Sep 16, 2019By the provider in NPPES

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": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1457548471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 NE 127TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986853076",
            "telephone_number": "360-910-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST STE 550D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602955",
            "telephone_number": "360-910-8065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11125 NE Sandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972202555",
            "country_code": "US",
            "telephone_number": "360-910-8065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 E McLoughlin Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986633369",
            "country_code": "US",
            "telephone_number": "360-693-0400",
            "fax_number": "360-693-6156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRUZZINI",
        "first_name": "KRISHTA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "WA",
            "license": "MA00022103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naprapath in Vancouver, WA
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• Naprapath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.