NPIMap

Organization Active NPI

Anjuna Acupuncture & Integrated Medicine

Doing business as Anjuna Medicine, LLC

  • Acupuncturist
  • Eugene, OR
National Provider Identifier
1194102194
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC164157 Issued in OR
Legal business name
ANJUNA ACUPUNCTURE & INTEGRATED MEDICINE
Doing business as
Anjuna Medicine, LLC
Anjuna Sports Acupuncture
Practice address
656 Charnelton St
Eugene, OR 97401-2689
Phone
(619) 240-6497
Fax
(541) 343-1455
NPI assigned
Apr 29, 2015
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mr. Nathan J. Heide, L.ACNPI 1174955470
Title
Owner
Phone
(619) 240-6497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC164157 OR Primary

Addresses

Primary practice location

656 Charnelton St
Eugene, OR 97401-2689

Mailing address

656 Charnelton St
Eugene, OR 97401-2689
Phone (619) 240-6497

Other identifiers 2

IdentifierTypeStateIssuer
AC169614OtherOROREGON MEDICAL BOARD
AC164157OtherOROREGON MEDICAL BOARD

Other names 2

  • Anjuna Medicine, LLC Doing business as
  • Anjuna Sports Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

656 Charnelton St
Eugene, OR 97401
Phone (541) 653-8692

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1194102194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012689",
            "telephone_number": "619-240-6497",
            "fax_number": "541-343-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012689",
            "telephone_number": "619-240-6497",
            "fax_number": "541-343-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJUNA ACUPUNCTURE & INTEGRATED MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "HEIDE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-240-6497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC164157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "AC169614",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "AC164157",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anjuna Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anjuna Sports Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.