Active NPI
Kimberly Kate McCarty, LAC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1003062803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01042
- Practice address
- 3769 SE Milwaukie Ave
Portland, OR 97202-3804 - Phone
- (503) 724-2606
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01042 | OR | Primary |
Addresses
Primary practice location
3769 SE Milwaukie Ave
Portland, OR 97202-3804
Mailing address
9595 N Lombard St
Portland, OR 97203-2109
Phone (503) 724-2606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC01042 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Alliance of Tennats | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Portland, OR
- NPI 1144013806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1003062803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9595 N LOMBARD ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972032109",
"telephone_number": "503-724-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3769 SE MILWAUKIE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023804",
"telephone_number": "503-724-2606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTY",
"first_name": "KIMBERLY",
"middle_name": "KATE",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.