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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KRISTA NUCKOLLS
NPI 1770482705
Peer Specialist in Medford, OR

Active since November 04, 2026
1025 E MAIN ST, MEDFORD, OR 97504(541) 200-1678(541) 608-2888 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Krista Nuckolls NPPES

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

KRISTA NUCKOLLS (NPI 1770482705) is an individual peer specialist in Medford, Oregon and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1770482705
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKRISTA NUCKOLLS
Location Address1025 E MAIN STMedford, OR 97504-7689
Mailing Address1025 E Main StMedford, OR 97504-7689 · (541) 200-1678 · Fax (541) 608-2888
Phone(541) 200-1678
Fax(541) 608-2888
Sole ProprietorYes
Enumeration DateNovember 4, 2026
NPPES CertifiedNovember 4, 2026
✔ NPI 1770482705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1025 E MAIN ST, Medford, OR 97504
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH KOLB CRM
Peer Specialist
1025 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 779-1282
CARRIE JO OLIVER CRM
Peer Specialist
1025 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 779-1282
BENJAMIN R SPENCE CRM
Peer Specialist
1025 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 779-1282
JORDAN DIEMER
Peer Specialist
1025 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 779-1282
CHRISTOPHER R STOECKEL
Peer Specialist
1025 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 779-1282
KEVIN DAVIS
Peer Specialist
1025 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 779-2081
JAMES WESTER
Peer Specialist
1025 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 779-1282
MEGAN MARLENE WILLS MSW, LCSW
Social Worker (Clinical)
1025 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 200-1630

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 Krista Nuckolls's NPI number?

The NPI number for Krista Nuckolls is 1770482705. It was assigned to this individual provider in the NPPES registry on November 4, 2026.

Where is Krista Nuckolls located?

Krista Nuckolls practices at 1025 E Main St, Medford, OR 97504. The listed phone number is (541) 200-1678.

What is Krista Nuckolls's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Krista Nuckolls was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.