Nathan Joseph Heide, DAOM LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC164157 Issued in OR

Practice address

656 Charnelton Street
Lower Level
Eugene, OR 97401

Phone

(541) 653-8692

Fax

(541) 653-8789

NPI assigned

Aug 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anjuna Acupuncture & Integrated Medicine

  dba Anjuna Medicine, LLC

  • Acupuncturist
  • Eugene, OR
  • NPI 1194102194
  NPD Authorized official

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1174955470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 CHARNELTON STREET",
            "address_2": "LOWER LEVEL",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-653-8692",
            "fax_number": "541-653-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 CHARNELTON STREET",
            "address_2": "LOWER LEVEL",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-653-8692",
            "fax_number": "541-653-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDE",
        "first_name": "NATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DAOM LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "164157",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "21349",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC164157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM CERTIFICATE",
            "identifier": "154326",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON ACUPUNCTURE LICENSE",
            "identifier": "164157",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ACUPUNCTURE LICENSE",
            "identifier": "21349",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heeran Center
• Alexandra Heffley
• Caitlin Merry Hefner
• Gerrick Timon Hegarty, QMHA
• Naamith Heiblum, PH.D., QMHP
• Jennifer Anne Heideman, LMT
• Heidi C. Schelling, PHD, Licsw, Psychotherapy Services, LLC (Heidi C Schelling Phd LICSW)
• Bradley Vincent Heimann, B.A., B.S.
• Christina M Heinrich, PHARM.D.
• Eden Keats Heinzke

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.