Gina Marie Cavellini, L AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC219692 Issued in OR

Practice address

7503 SE Ellis St
Portland, OR 97206-5103

Phone

(503) 832-8557

NPI assigned

May 29, 2024

Sex

Female

Sole proprietor

Yes

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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1194565010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 SE ELLIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065103",
            "telephone_number": "503-832-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 SE ELLIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065103",
            "telephone_number": "503-832-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVELLINI",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "L AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC219692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan M Cavanaugh, MD
• Sandra Cavazos, CRM/QMHA-R
• Angela Cave
• Katherine Ellen Cave
• Taylor Cave, MD
• Kelly John Caverzagie, MD
• Julie Cavese, PSYD, LPC
• Kayla Cavett, LMT
• Christopher Douglas Caviglia
• Elizabeth C Cavin, ND

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.