Individual provider Active NPI

Donna Jene Harris, L. AC

  • Acupuncturist
  • Grants Pass, OR
National Provider Identifier
1043793003
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC189495 Issued in OR
Practice address
845 NE 7TH St
Grants Pass, OR 97526-1634
Phone
(541) 295-8121
Fax
(541) 295-8235
NPI assigned
Sep 14, 2018
Last updated
Mar 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC189495 OR Primary

Addresses

Primary practice location

845 NE 7TH St
Grants Pass, OR 97526-1634

Mailing address

845 NE 7TH St
Grants Pass, OR 97526-1634
Phone (541) 441-4138

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

LicenseStateTypeSpecialty
AC189495ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Valley Acupuncture, LLC Acupuncturist CurrentSince Jan 22, 2023 Accepting new patients
Acupuncture and Herbal Medical Center Acupuncturist Past Accepting new patients

Locations

845 NE 7th St
Grants Pass, OR 97526
Phone (541) 218-8603

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1043793003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261634",
            "telephone_number": "541-441-4138",
            "fax_number": "541-295-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261634",
            "telephone_number": "541-295-8121",
            "fax_number": "541-295-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DONNA",
        "middle_name": "JENE",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC189495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; 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.