Krista Nuckolls

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1025 E Main St
Medford, OR 97504-7689

Phone

(541) 200-1678

Fax

(541) 608-2888

NPI assigned

Nov 4, 2026

Last updated

Nov 4, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1793750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1770482705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047689",
            "telephone_number": "541-200-1678",
            "fax_number": "541-608-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047689",
            "telephone_number": "541-200-1678",
            "fax_number": "541-608-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCKOLLS",
        "first_name": "KRISTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-11-04",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Pain Management PC (Intractable Pain Centers)
• Northwest Spine & Wellness Center, LLC (Logan Chiropractic Center)
• Ariana Novak
• Laura E Nowac, PT
• Nancy A. Noyce, MD
• Robert Lewis Nutting,, MSW, LCSW, LMT
• Caleb B. Nyone, MD
• Megan Claire Nyone, OD
• Candace Nysted, PA-C
• Leesa D Nystrom, PT

• Peer Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.