Organization Active NPI

Krista Tricarico, ND, PC

Doing business as Open Mind Medicine

  • Naturopath
  • Portland, OR
National Provider Identifier
1558008573
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
KRISTA TRICARICO, ND, PC
Doing business as
Open Mind Medicine
Practice address
7005 NE Glisan St Ste B
Portland, OR 97213-5517
Phone
(503) 593-8900
Fax
(503) 234-2805
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dr. Krista A Tricarico, ND
Title
Owner
Phone
(503) 593-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NU Primary

Addresses

Primary practice location

7005 NE Glisan St Ste B
Portland, OR 97213-5517

Mailing address

6201 NE 13TH Ave Unit B
Portland, OR 97211-4270
Phone (503) 502-9490

Other names 1

  • Open Mind Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

7005 NE Glisan St
#B
Portland, OR 97213
Phone (503) 593-8900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1558008573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 NE 13TH AVE UNIT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114270",
            "telephone_number": "503-502-9490",
            "fax_number": "503-234-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 NE GLISAN ST STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135517",
            "telephone_number": "503-593-8900",
            "fax_number": "503-234-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTA TRICARICO, ND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "TRICARICO",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-593-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Mind Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.