IRIDESCENT WELLNESS CLINIC PC
NPI 1770167348
Nurse Practitioner - Family in Eugene, OR

Q: What is Iridescent Wellness Clinic PC's NPI number?

The NPI number for Iridescent Wellness Clinic PC is 1770167348. It was assigned to this organization in the NPPES registry on May 10, 2021.

Q: What is Iridescent Wellness Clinic PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 10, 2021

1907 GARDEN AVE STE 203, EUGENE, OR 97403(503) 739-5705 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, May 10, 2021 (2 updates tracked since 2021).

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About Iridescent Wellness Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRIDESCENT WELLNESS CLINIC PC (NPI 1770167348) is a healthcare organization registered as a family in Eugene, Oregon and active in the NPI registry since May 2021. The organization lists Randa Jill Kucey, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1770167348

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameIRIDESCENT WELLNESS CLINIC PC

Location Address1907 GARDEN AVE STE 203Eugene, OR 97403-1965

Mailing Address2312 W 28th AveEugene, OR 97405-1426 · (503) 739-5705

Phone(503) 739-5705

Organization SubpartNo

Authorized OfficialRanda Jill KuceyFnp/owner · (503) 739-5705

Enumeration DateMay 10, 2021

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1770167348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

1907 GARDEN AVE STE 203, Eugene, OR 97403

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iridescent Wellness Clinic PC's NPI number?

The NPI number for Iridescent Wellness Clinic PC is 1770167348. It was assigned to this organization in the NPPES registry on May 10, 2021.

Where is Iridescent Wellness Clinic PC located?

Iridescent Wellness Clinic PC is located at 1907 Garden Ave Ste 203, Eugene, OR 97403. The listed phone number is (503) 739-5705.

What is Iridescent Wellness Clinic PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Iridescent Wellness Clinic PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Iridescent Wellness Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Iridescent Wellness Clinic PC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.