Active NPI
Amy Nicole Homer-Brown, MBBS, MSOM, LAC
- Acupuncturist
- Tigard, OR
National Provider Identifier
1093349490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC196466
- Practice address
- 9600 SW Oak St Ste 410
Tigard, OR 97223-6581 - Phone
- (503) 308-8676
- Fax
- (503) 821-7881
- NPI assigned
- Feb 25, 2020
- 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 | AC196466 | OR | Primary |
Addresses
Primary practice location
9600 SW Oak St Ste 410
Tigard, OR 97223-6581
Mailing address
9600 SW Oak St Ste 410
Tigard, OR 97223-6581
Phone (503) 308-8676
Other names 1
- Amy Nicole Homer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amy@ikigaiwellnesspdx.com | Direct |
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 |
|---|---|---|---|
| AC196466 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ikigai Wellness LLC | Acupuncturist | Current | 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
- Tigard, OR
- NPI 1487343299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767225600000",
"number": "1093349490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 SW OAK ST STE 410",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236581",
"telephone_number": "503-308-8676",
"fax_number": "503-821-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 SW OAK ST STE 410",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236581",
"telephone_number": "503-308-8676",
"fax_number": "503-821-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMER-BROWN",
"first_name": "AMY",
"middle_name": "NICOLE",
"credential": "MBBS, MSOM, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2026-01-01",
"certification_date": "2026-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC196466",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amy@ikigaiwellnesspdx.com",
"affiliation": "N",
"endpointDescription": "Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9600 SW Oak St Ste 410",
"city": "Tigard",
"state": "OR",
"country_code": "US",
"postal_code": "972236581",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "HOMER",
"middle_name": "NICOLE",
"credential": "MBBS, MSOM, LAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.