Individual provider Active NPI

Cassidy Lee Quistorff

  • Health Educator
  • Klamath Falls, OR
National Provider Identifier
1750149084
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
128 S 11TH St
Klamath Falls, OR 97601-5806
Phone
(541) 274-2777
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

128 S 11TH St
Klamath Falls, OR 97601-5806

Mailing address

128 S 11TH St
Klamath Falls, OR 97601-5806
Phone (541) 274-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc Health Educator CurrentSince Mar 17, 2024 Accepting new patients
Sky Lakes Medical Center Inc PastSince Mar 17, 2024 Accepting new patients

Locations

128 S 11th St
Klamath Falls, OR 97601
Phone (541) 274-2770

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1750149084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S 11TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015806",
            "telephone_number": "541-274-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S 11TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015806",
            "telephone_number": "541-274-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUISTORFF",
        "first_name": "CASSIDY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.