Individual provider Active NPI

James Miles Yardley, LAC, LMT

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1093366262
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC196944 Issued in OR
Practice address
6913 SE Foster Rd
Portland, OR 97206-4547
Phone
(503) 235-7653
NPI assigned
Sep 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X OR
Acupuncturist 171100000X AC196944 OR Primary

Addresses

Primary practice location

6913 SE Foster Rd
Portland, OR 97206-4547

Mailing address

7830 SE Boise CT Unit a
Portland, OR 97206-3382
Phone (303) 358-4137

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
AC196944ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Yardley Healing Arts LLC Current Accepting new patients
White Phoenix Acupuncture Acupuncturist CurrentSince Dec 6, 2020 Accepting new patients

Locations

6913 SE Foster Rd
Portland, OR 97206
Phone (503) 235-7653

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1093366262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 SE BOISE CT UNIT A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063382",
            "telephone_number": "303-358-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 SE FOSTER RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064547",
            "telephone_number": "503-235-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARDLEY",
        "first_name": "JAMES",
        "middle_name": "MILES",
        "credential": "LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC196944",
            "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 Jan 7, 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.