Kelly Ann Chambers, MAOM, L.AC, DIPL. AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC151013 Issued in OR

Practice address

365 NE Kearney Ave
Bend, OR 97701-4573

Phone

(541) 390-1710

Fax

(541) 617-8906

NPI assigned

Jun 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kellie Anne Chambers Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1144541848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 NW 4TH ST",
            "address_2": "APT. #26",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011825",
            "telephone_number": "541-390-1710",
            "fax_number": "541-617-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 NE KEARNEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014573",
            "telephone_number": "541-390-1710",
            "fax_number": "541-617-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MAOM, L.AC, DIPL. AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC151013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "CHAMBERS",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "L.AC, MAOM, DIPL. AC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Central Sport and Spine LLC
• Cep America - Neurology PC
• Chad E Stephenson DDS PC
• Nicholas Eugean Chamberlain
• Elizabeth Chambers
• Lauren Nicole Chambers
• Keaton Chamorro
• Sally Champa
• Miriam Champer
• Katherine Lindsey Chancellor, LPC

• Acupuncturist in Bend, OR
• Providers in Bend, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.