Crystal Kupsick

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201130520LPN Issued in OR

Practice address

2073 Olympic St
Springfield, OR 97477-3413

Phone

(541) 687-7300

NPI assigned

Dec 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Quigley Former name

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": "1387843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387843200000",
    "number": "1659792398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 30TH ST APT 310D",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974787655",
            "telephone_number": "541-556-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773413",
            "telephone_number": "541-687-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPSICK",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-24",
        "last_updated": "2013-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201130520LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "QUIGLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Elizabeth Kuentzel
• Martha Alexis Kuhn, PHARMD
• Katherine Elizabeth Kunigelis
• Erin Kunigisky, LPN
• Kimberly Kuo, M.D.
• Rebecca Marie Kuskie
• Sarah Elizabeth Kuzma, PA-C
• Brooke H. L. Kyle, M.D.
• Christopher Charles Kyle, MD, MPH
• Geoffrey Joseph L'Heureux, PHARMD

• Licensed Practical Nurse in Springfield, OR
• Providers in Springfield, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; 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.