Active NPI
Sunny Kierstyn, RN,DC
- Nutrition Chiropractor
- Eugene, OR
National Provider Identifier
1497820856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 27 3035
- Practice address
- 1663 High St
Eugene, OR 97401-4113 - Phone
- (541) 654-0850
- Fax
- (541) 654-0834
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 27 3035 | OR | Primary |
Addresses
Primary practice location
1663 High St
Eugene, OR 97401-4113
Mailing address
1663 High St
Eugene, OR 97401-4113
Phone (541) 654-0850
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)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3035 | OR | MD | Counseling Psychologist |
| 27 3035 | OR | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracy & Keim Chiropractic,LLC | Past | Accepting new patients | |
| Eugene Physical Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Eugene, OR
- NPI 1992796452
-
- Chiropractor
- Eugene, OR
- NPI 1295905545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1497820856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1663 HIGH ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014113",
"telephone_number": "541-654-0850",
"fax_number": "541-654-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1663 HIGH ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014113",
"telephone_number": "541-654-0850",
"fax_number": "541-654-0834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERSTYN",
"first_name": "SUNNY",
"name_prefix": "Dr.",
"credential": "RN,DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "OR",
"license": "27 3035",
"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 Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.