Individual provider Active NPI

Shana Levin, LAC

  • Acupuncturist
  • McMinnville, OR
National Provider Identifier
1104648872
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC222453 Issued in OR
Practice address
105 NE 3Rd St
McMinnville, OR 97128-4948
Phone
(701) 866-9107
NPI assigned
Oct 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC222453 OR Primary

Addresses

Primary practice location

105 NE 3Rd St
McMinnville, OR 97128-4948

Mailing address

748 Joel Palmer Way
Dayton, OR 97114-7804
Phone (701) 866-9107

Other practice location 1

748 Joel Palmer Way
Dayton, OR 97114-7804
Phone (701) 866-9107

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
AC222453ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1104648872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 JOEL PALMER WAY",
            "city": "DAYTON",
            "state": "OR",
            "postal_code": "971147804",
            "telephone_number": "701-866-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NE 3RD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284948",
            "telephone_number": "701-866-9107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "748 Joel Palmer Way",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OR",
            "postal_code": "971147804",
            "country_code": "US",
            "telephone_number": "701-866-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "SHANA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC222453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.