Organization Active NPI

Keizer Diabetes & Metabolism Clinic

  • Adult Health Clinical Nurse Specialist
  • Keizer, OR
National Provider Identifier
1689503864
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
Legal business name
KEIZER DIABETES & METABOLISM CLINIC
Practice address
4829 River Rd N
Keizer, OR 97303-4537
Phone
(801) 648-3824
NPI assigned
May 14, 2026
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Sandra Dee Bunn, APRN CNS-PPNPI 1477985737
Title
Owner
Phone
(801) 648-3824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X NU Primary

Addresses

Primary practice location

4829 River Rd N
Keizer, OR 97303-4537

Mailing address

4829 River Rd N
Keizer, OR 97303-4537
Phone (801) 648-3824

National Provider Directory

National Provider Directory

Locations

4829 River Rd N
Keizer, OR 97303
Phone (801) 648-3824

Practitioners & affiliated clinicians

Practitioners 1

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": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1689503864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034537",
            "telephone_number": "801-648-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034537",
            "telephone_number": "801-648-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIZER DIABETES & METABOLISM CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-648-3824",
        "authorized_official_credential": "APRN CNS-PP"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.