Active NPI
Valley of Peace Natural Health Center, LLC
- Acupuncturist
- La Grande, OR
National Provider Identifier
1003276163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01183
- Legal business name
- VALLEY OF PEACE NATURAL HEALTH CENTER, LLC
- Practice address
- 1617 4TH St
La Grande, OR 97850-2505 - Phone
- (541) 910-2046
- Fax
- (888) 264-5835
- NPI assigned
- Mar 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer A Moore, L.AC
- Title
- Licensed Acupuncturist
- Phone
- (541) 910-2046
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01183 | OR | Primary |
Addresses
Primary practice location
1617 4TH St
La Grande, OR 97850-2505
Mailing address
1610 Z Ave
PO Box 1164
La Grande, OR 97850-3745
Phone (541) 910-2046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500607159 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
1617 4th St
La Grande, OR 97850
Phone (541) 786-3707
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- La Grande, OR
- NPI 1568635514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456876800000",
"number": "1003276163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 Z AVE",
"address_2": "PO BOX 1164",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978503745",
"telephone_number": "541-910-2046",
"fax_number": "888-264-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 4TH ST",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978502505",
"telephone_number": "541-910-2046",
"fax_number": "888-264-5835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY OF PEACE NATURAL HEALTH CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-02",
"last_updated": "2016-03-02",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
"authorized_official_telephone_number": "541-910-2046",
"authorized_official_credential": "L.AC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500607159",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.