NPIMap

Individual provider Active NPI

Willard Sheppy, L.AC.

  • Acupuncturist
  • Albany, OR
National Provider Identifier
1174859201
Registry record updated Oct 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC150425 Issued in OR
Practice address
614 27TH Ave SE
Albany, OR 97322-4165
Phone
(541) 760-9670
NPI assigned
Oct 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC150425 OR Primary

Addresses

Primary practice location

614 27TH Ave SE
Albany, OR 97322-4165

Mailing address

614 27TH Ave SE
Albany, OR 97322-4165
Phone (541) 760-9670

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
AC150425ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Acupuncture LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

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": "1256342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256342400000",
    "number": "1174859201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 27TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973224165",
            "telephone_number": "541-760-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 27TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973224165",
            "telephone_number": "541-760-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPY",
        "first_name": "WILLARD",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-24",
        "last_updated": "2009-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC150425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2009; 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.