Active NPI
Vanessa Rae Kizzier-Carnahan, DO
- Critical Care Medicine (Internal Medicine) Physician
- Springfield, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- DO158135
- Practice address
- 3355 Riverbend Dr Ste 240
Springfield, OR 97477-8800 - Phone
- (541) 868-9273
- Fax
- (541) 868-9497
- NPI assigned
- Apr 16, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | PG156163 | OR | |
| Internal Medicine Physician | 207R00000X | DO158135 | OR | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | DO158135 | OR | Primary |
Addresses
Primary practice location
3355 Riverbend Dr Ste 240
Springfield, OR 97477-8800
Mailing address
3355 Riverbend Dr Ste 240
Springfield, OR 97477-8800
Phone (541) 868-9273
Other names 1
- Vanessa Rae Kizzier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1460 G St
Springfield, OR 97477-4112
Phone (541) 726-4400
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-7300
Hospital & facility affiliations
- Sacred Heart Medical Center - Riverbend
- Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PG156163 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Sound Physicians Intensivists of Washington PLLC | Critical Care Medicine | Current | Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
3355 Riverbend Dr
Ste 240
Springfield, OR 97477
Phone (541) 687-1712
Organizations & group practices 3
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Spokane, WA
- NPI 1528582699
OR
-
- Hospitalist Physician
- Springfield, OR
- NPI 1740223874
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1497998660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 RIVERBEND DR STE 240",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-868-9273",
"fax_number": "541-868-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 RIVERBEND DR STE 240",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-868-9273",
"fax_number": "541-868-9497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZZIER-CARNAHAN",
"first_name": "VANESSA",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "PG156163",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "DO158135",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OR",
"license": "DO158135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "KIZZIER",
"middle_name": "RAE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.