DR. KRISTA BACON
NPI 1770952699
Psychologist - Forensic in Vancouver, WA

Q: What is Krista Bacon's NPI number?

The NPI number for Krista Bacon is 1770952699. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Q: What is Krista Bacon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Q: When was this NPI record last updated?

The NPPES record for Krista Bacon was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 21, 2015

4001 MAIN ST STE 218, VANCOUVER, WA 98663(360) 777-6915 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Krista Bacon NPPES

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

DR. KRISTA BACON (NPI 1770952699) is an individual forensic provider in Vancouver, Washington, licensed in Washington (PY61395594) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1770952699

Entity TypeIndividualFemale

Primary Taxonomy103TF0200X

Provider Legal NameDR. KRISTA BACON

Location Address4001 MAIN ST STE 218Vancouver, WA 98663-1888

Mailing Address4001 Main Street, Suite 218, Box 7Vancouver, WA 98663-1888

Phone(360) 777-6915

Sole ProprietorNo

Enumeration DateSeptember 21, 2015

Last NPPES UpdateSeptember 18, 2023

NPPES CertifiedSeptember 18, 2023

✔ NPI 1770952699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers

Taxonomy Code103TF0200X

License✔ Licensed in WA · PY61395594

Definition

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY61395594 (WA)

4001 MAIN ST STE 218, Vancouver, WA 98663

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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 Bacon's NPI number?

The NPI number for Krista Bacon is 1770952699. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Krista Bacon located?

Krista Bacon practices at 4001 Main St Ste 218, Vancouver, WA 98663. The listed phone number is (360) 777-6915.

What is Krista Bacon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Krista Bacon was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.