Individual provider Active NPI

Carrie Eileen Crimin, BSN, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1174842082
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC150732 Issued in OR
Practice address
736 NE Failing St
Portland, OR 97212-1140
Phone
(503) 312-4223
NPI assigned
May 18, 2010
Last updated
May 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 097006904RN OR
Acupuncturist 171100000X AC150732 OR Primary

Addresses

Primary practice location

736 NE Failing St
Portland, OR 97212-1140

Mailing address

736 NE Failing St
Portland, OR 97212-1140
Phone (503) 312-4223

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
097006904RNORMDRegistered Nurse
AC150732ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1174842082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 NE FAILING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121140",
            "telephone_number": "503-312-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 NE FAILING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121140",
            "telephone_number": "503-312-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIMIN",
        "first_name": "CARRIE",
        "middle_name": "EILEEN",
        "credential": "BSN, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "097006904RN",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC150732",
            "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 May 18, 2010; 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.