Kristi Daria Till

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

096003255RN Issued in OR

Practice address

1015 Willamette St
Eugene, OR 97401-3113

Phone

(541) 935-0408

Fax

(541) 935-6270

NPI assigned

Jan 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kristi Daria Till Professional 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": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1669719159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "VENETA",
            "state": "OR",
            "postal_code": "974870432",
            "telephone_number": "541-935-0408",
            "fax_number": "541-935-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013113",
            "telephone_number": "541-935-0408",
            "fax_number": "541-935-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILL",
        "first_name": "KRISTI",
        "middle_name": "DARIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OR",
            "license": "096003255RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "TILL",
            "middle_name": "DARIA",
            "prefix": "MS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelsi Tidball
• Robin Lynn Tiedeman, M.S.W.
• Tiffany-Davis Drug Co.
• Tonya Tigart, LAC.
• Patrick Tilcock, QMHP
• Andrew Trevor Tillman, DMD
• Darryl Tillo
• Emma Tims, OTD
• Heather Ann Tinseth
• Dazjah Dorothea Tinsley

• Case Management Registered Nurse in Eugene, OR
• Providers in Eugene, OR by specialty
• Case Management Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.