Individual provider Active NPI

Sara Thomas

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1083000848
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC171571 Issued in OR
Practice address
1716 NE 42ND Ave
Portland, OR 97213-1527
Phone
(503) 708-1554
NPI assigned
Apr 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC171571 OR Primary

Addresses

Primary practice location

1716 NE 42ND Ave
Portland, OR 97213-1527

Mailing address

1716 NE 42ND Ave
Portland, OR 97213-1527
Phone (503) 708-1554

Other practice location 1

5007 NE Alberta St
Portland, OR 97218-2027
Phone (503) 708-1554

Other practice location 2

5007 NE Alberta St
Portland, OR 97218-2027
Phone (503) 708-1554

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
AC171571ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Wellness LLC Acupuncturist PastSince Dec 15, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083000848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 NE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131527",
            "telephone_number": "503-708-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 NE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131527",
            "telephone_number": "503-708-1554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5007 NE Alberta St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972182027",
            "country_code": "US",
            "telephone_number": "503-708-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5007 NE Alberta St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972182027",
            "country_code": "US",
            "telephone_number": "503-708-1554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC171571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.