KRISTI JETT, MD (NPI# 1417049685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417049685 |
| Entity Type | Organization |
| Organization Name | KRISTI JETT, MD |
| Practice Address |
1102 Ne 4th St Bend OR 97701-4533 |
| Practice Telephone | 5413890450 |
| Practice Fax Number | 5413899567 |
| Mailing Telephone | 5413890450 |
| Mailing Fax Number | 5413899567 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRISTI J JETT (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 5413890450 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MD14733 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1102 NE 4TH ST |
| City | BEND |
| State | OR |
| Zip Code | 97701-4533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073568762 | Kristi J Jett | Obstetrics & Gynecology | 1102 Ne 4th St, Bend, OR 97701 | 2006-05-23 |
| 1184178089 | Ashley Gish | Nurse Practitioner | 1102 Ne 4th St, Bend, OR 97701-4533 | 2016-08-09 |
| 1669660213 | Lauren Johnson Osullivan | Obstetrics & Gynecology | 1102 Ne 4th St, Bend, OR 97701-4533 | 2007-10-09 |
| 1316983679 | Lauren Johnson O'sullivan | Obstetrics & Gynecology | 1102 Ne 4th St, Bend, OR 97701-4533 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558719369 | Douglas Vangordon | Neuromusculoskeletal Medicine, Sports Medicine | 2245 Nw Shevlin Park Rd, Bend, OR 97703-7195 | 2016-06-02 |
| 1962407585 | Thomas J Carlsen | Neuromusculoskeletal Medicine, Sports Medicine | 2200 Ne Neff Rd, Ste 200, Bend, OR 97701-4281 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831606607 | Erika Buckles | Neuromusculoskeletal Medicine, Sports Medicine | 930 Sw Hall St., Portland, OR 97201-9720 | 2018-01-03 |
| 1073955548 | James Manley Haynes | Neuromusculoskeletal Medicine, Sports Medicine | 22 Montello Ave, Hood River, OR 97031-2234 | 2013-07-24 |
| 1073858213 | Joseph F Mallari | Neuromusculoskeletal Medicine, Sports Medicine | 7340 Sw 163rd Pl, Beaverton, OR 97007-6365 | 2012-11-28 |
| 1619285293 | Stephanie Nani, Do LLC | Neuromusculoskeletal Medicine, Sports Medicine | 15962 Boones Ferry Road, Suite 204, Lake Oswego, OR 97035 | 2010-09-17 |
| 1659422327 | Allen J Thomashefsky | Neuromusculoskeletal Medicine, Sports Medicine | 64 N 3rd St, Ashland, OR 97520-1931 | 2007-01-16 |
| 1710970876 | Carl Michael Erickson | Neuromusculoskeletal Medicine, Sports Medicine | 7215 Se Milwaukie Ave, Portland, OR 97202-6103 | 2005-08-24 |
| 1881990570 | Cascade Family Practice | Neuromusculoskeletal Medicine, Sports Medicine | 7215 Se Milwaukie Ave, Portland, OR 97202-6103 | 2011-01-28 |
| 1245371269 | Alec W. Volvovic | Neuromusculoskeletal Medicine, Sports Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2007-02-11 |
| 1164528378 | Carrie Marie Ware | Neuromusculoskeletal Medicine, Sports Medicine | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2006-09-15 |
| 1134236292 | Stephen Joseph Ebner | Neuromusculoskeletal Medicine, Sports Medicine | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.