Jennifer Gamache Kearns, DACM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01275 Issued in OR

Practice address

4004 SE Woodstock Blvd
Portland, OR 97202-7662

Phone

(503) 777-0444

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brightside Health Collaborative

  • Family Medicine Physician
  • Portland, OR
  • NPI 1902546682

  Acupuncturist

  NPD Authorized official
• Center Down LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1720397011
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1003978164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 SE 45TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067029",
            "telephone_number": "609-477-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 SE WOODSTOCK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027662",
            "telephone_number": "503-777-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6214 SE 45th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972067029",
            "country_code": "US",
            "telephone_number": "609-477-9192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "JENNIFER",
        "middle_name": "GAMACHE",
        "credential": "DACM, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00048100",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000846",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500616924",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "364590178",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kearney Behavior Consulting LLC
• Emily Kearney
• Tiffanie Kearney
• Adam Gemmill Kearns, CRNA
• Brian J Kearns, MD
• Jordann Lindsay Kearns, RDN, LD
• Margaret Kearns, CNA2,MHT
• Morgan Kearns, LMT
• Angela B Keating, MD
• Christine Ellen Keating, RN

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.