Active NPI
Lori Celeste Farley, M.S.O.M, L.AC.
- Acupuncturist
- Sutherlin, OR
National Provider Identifier
1245407980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00490
- Practice address
- 10 South State Street
Sutherlin, OR 97479 - Phone
- (541) 459-7410
- NPI assigned
- May 12, 2008
- Last updated
- Feb 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00490 | OR | Primary |
Addresses
Primary practice location
10 South State Street
Sutherlin, OR 97479
Mailing address
PO Box 923
Sutherlin, OR 97479-0923
Phone (541) 430-5393
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 |
|---|---|---|---|
| AC00490 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Concepts LLC | Acupuncturist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1245407980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 923",
"city": "SUTHERLIN",
"state": "OR",
"postal_code": "974790923",
"telephone_number": "541-430-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SOUTH STATE STREET",
"city": "SUTHERLIN",
"state": "OR",
"postal_code": "97479",
"telephone_number": "541-459-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "LORI",
"middle_name": "CELESTE",
"name_prefix": "Ms.",
"credential": "M.S.O.M, L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sutherlin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.