Lea C White, LIC.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

201675 Issued in OR

Practice address

1554 NE 4TH Street
Midtown Wellness Center
Bend, OR 97701

Phone

(541) 550-0847

Fax

(541) 209-5570

NPI assigned

Dec 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joanne White Robison Former name

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.

• Magnolia Natural Healing LLC

  • Acupuncturist
  • Bend, OR
  • NPI 1225784937
  NPD Authorized official

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1043755390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8629",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977088629",
            "telephone_number": "541-550-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 NE 4TH STREET",
            "address_2": "MIDTOWN WELLNESS CENTER",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-550-0847",
            "fax_number": "541-209-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LEA",
        "middle_name": "C",
        "credential": "LIC.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "201675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "ROBISON",
            "middle_name": "WHITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonnie Whitcomb, LMT
• Allison White, LCSW
• Joanne White
• Kimberly Marie White, PHARMD
• Kingsly Dione White, D.D.S
• Madison Anne White, LMFT
• Michelle Whitehead, MHNP PHD
• Cassondra Whiting
• Charles Whiting, MD
• James Don Whitmore, LAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.