Justin Kerry Fields

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

112924 Issued in OR

Practice address

1824 Vine Ave
Klamath Falls, OR 97601-3362

Phone

(530) 405-7237

NPI assigned

Apr 16, 2025

Sex

Male

Sole proprietor

No

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": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1659167724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 REDSTART RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019244",
            "telephone_number": "530-405-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 VINE AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013362",
            "telephone_number": "530-405-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "JUSTIN",
        "middle_name": "KERRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "112924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Sara Fay, M.D.
• Jonathan Dean Fay, M.D.
• Mark Terrence Fay, M.D.
• Brittany Leah Ferguson, RN
• Jacob Ferrer
• Finding Pearls
• Mark Richard Finlay, PHARMD
• Emily Fischer
• Cody Flanders
• Jessica Marie Flescher

• Peer Specialist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.