Porter Mikel Nilsson, MSOM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121000440 Issued in VA

Practice address

3122 W Cary St Ste 220
Richmond, VA 23221-3500

Phone

(804) 938-6457

NPI assigned

Jan 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Nils Porter Erickson Former 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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1154569010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N NANSEMOND ST APT 4",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232211540",
            "telephone_number": "804-938-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 W CARY ST STE 220",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232213500",
            "telephone_number": "804-938-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "PORTER",
        "middle_name": "MIKEL",
        "name_prefix": "Mr.",
        "credential": "MSOM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NILS",
            "last_name": "ERICKSON",
            "middle_name": "PORTER",
            "prefix": "MR.",
            "credential": "MSOM LIC. AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Migdalis Nieves, LCSW
• Rochelle M. Nightengale, MS, LPC, C.R.C.
• Lauren C Nigro, MD
• Alexandra Jo Cavin Nilsen, O.D.
• Eric Patrick Nilsen, O.D.
• Malcolm Charles Nimick
• Nimps Goodliving Services LLC
• Paul Nissley, CRNA
• Stephen Nitta
• Hayley Nixon McCord, LPC

• Acupuncturist in Richmond, VA
• Providers in Richmond, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.