Individual provider Active NPI

Caressa Gullikson, DC

  • Chiropractor
  • Ashland, OR
National Provider Identifier
1780048694
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5723 Issued in OR
Practice address
108 E Hersey St
# 2A
Ashland, OR 97520-1363
Phone
(541) 482-3492
Fax
(541) 482-4203
NPI assigned
Apr 6, 2016
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5723 OR Primary

Addresses

Primary practice location

108 E Hersey St
# 2A
Ashland, OR 97520-1363

Mailing address

108 E Hersey St
Ste 2a
Ashland, OR 97520-1363
Phone (503) 582-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160809000747 OR Practitioner - Chiropractic 5991099236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 E Hersey St
2A
Ashland, OR 97520-1363
Phone (541) 482-3492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5723ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Caressa Gullikson, DC LLC Chiropractor Current Accepting new patients
Caressa Gullikson, DC LLC Chiropractor CurrentSince Jul 19, 2021 Accepting new patients
Orion Group Inc Chiropractor CurrentSince Nov 17, 2024 Accepting new patients

Locations

108 E Hersey St
#2A
Ashland, OR 97520
Phone (541) 482-3492

108 E Hersey St
Ste 2A
Ashland, OR 97520
Phone (541) 482-2021

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1780048694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E HERSEY ST",
            "address_2": "STE 2A",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201363",
            "telephone_number": "503-582-9200",
            "fax_number": "503-582-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E HERSEY ST",
            "address_2": "# 2A",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201363",
            "telephone_number": "541-482-3492",
            "fax_number": "541-482-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLIKSON",
        "first_name": "CARESSA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.