Active NPI
Ellen D. Leonard, L.AC.
- Acupuncturist
- Grants Pass, OR
National Provider Identifier
1063667657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00799
- Practice address
- 957 SE 7TH St
Grants Pass, OR 97526-3103 - Phone
- (541) 474-1974
- Fax
- (541) 474-1975
- NPI assigned
- Nov 24, 2008
- Sex
- Female
- Sole proprietor
- No
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 | AC00799 | OR | Primary |
Addresses
Primary practice location
957 SE 7TH St
Grants Pass, OR 97526-3103
Mailing address
957 SE 7TH St
Grants Pass, OR 97526-3103
Phone (541) 474-1974
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 |
|---|---|---|---|
| AC00799 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture at Riverside | Acupuncturist | Past | 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.
-
- Acupuncturist
- Grants Pass, OR
- NPI 1801001409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1063667657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 SE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975263103",
"telephone_number": "541-474-1974",
"fax_number": "541-474-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 SE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975263103",
"telephone_number": "541-474-1974",
"fax_number": "541-474-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "ELLEN",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00799",
"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 Nov 24, 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.