Active NPI
Abigail Jo Bisson, ND
- Naturopath
- Salem, OR
National Provider Identifier
1194239442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4122
- Practice address
- 1205 Wallace Rd NW
Salem, OR 97304-3007 - Phone
- (503) 371-1558
- NPI assigned
- Nov 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4122 | OR | |
| Naturopath | 175F00000X | 4122 | OR | Primary |
Addresses
Primary practice location
1205 Wallace Rd NW
Salem, OR 97304-3007
Mailing address
28083 Ewelty Way
Corvallis, OR 97330
Phone (541) 666-8304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4122 | Other | OR | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4122 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abigail Bisson ND Corp | Past | Accepting new patients |
Interoperability endpoints
- abigail.bisson.1@20226.direct.athenahealth.com
- https://api.platform.athenahealth.com/20226/brand/1/csg/1/fhir/r4
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.
-
- Primary Care Clinic/Center
- Salem, OR
- NPI 1831719244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1194239442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28083 EWELTY WAY",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97330",
"telephone_number": "541-666-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 WALLACE RD NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973043007",
"telephone_number": "503-371-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSON",
"first_name": "ABIGAIL",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-24",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "4122",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4122",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.