Organization Active NPI

Port City Integrative Health LLC

  • Acupuncturist
  • Newburyport, MA
National Provider Identifier
1063978021
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PORT CITY INTEGRATIVE HEALTH LLC
Practice address
18 Highland Ave FL 2
Newburyport, MA 01950-3812
Phone
(978) 255-4418
Fax
(888) 516-4432
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Mr. Leith A Nippes, L.AC.NPI 1417361676
Title
Co-Owner
Phone
(978) 893-6130

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

18 Highland Ave FL 2
Newburyport, MA 01950-3812

Mailing address

18 Highland Ave FL 2
Newburyport, MA 01950-3812
Phone (978) 255-4418

National Provider Directory

National Provider Directory

Locations

18 Highland Ave
Ste 2
Newburyport, MA 01950
Phone (718) 501-7515

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1063978021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HIGHLAND AVE FL 2",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503812",
            "telephone_number": "978-255-4418",
            "fax_number": "888-516-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HIGHLAND AVE FL 2",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503812",
            "telephone_number": "978-255-4418",
            "fax_number": "888-516-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "NIPPES",
        "authorized_official_first_name": "LEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "978-893-6130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.