Jody Shonn Vance, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01145 Issued in TX

Practice address

1303 NE Cushing Dr
Suite 150
Bend, OR 97701-3887

Phone

(541) 382-7875

Fax

(541) 382-2181

NPI assigned

Mar 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1184947327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SW INDUSTRIAL WAY",
            "address_2": "SUITE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021118",
            "telephone_number": "541-585-2529",
            "fax_number": "541-585-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 NE CUSHING DR",
            "address_2": "SUITE 150",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013887",
            "telephone_number": "541-382-7875",
            "fax_number": "541-382-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JODY",
        "middle_name": "SHONN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Van Ness, RN, BSN, PMHNP-BC
• Courtney J Van Valkenburg, WHNP
• William Van Wyk
• Jana M. Vanamburg, M.D.
• Paul Vancamp, M.D.
• Ellyn Sue Vandenberg, LMT
• Jesse Vandenborn
• Dania Vander Meer, LMT
• Alexandra Vanderheid-Nye, BCBA, LBA
• Olivia Kathryn Vanderslice, PA-C

• 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 Dec 28, 2011; 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.