Individual provider Active NPI

Nicola Moll Cattlin, MSTOM, LAC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1245439470
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01095 Issued in OR
Practice address
1235 SE Division St Ste 115
Portland, OR 97202-1085
Phone
(503) 975-9798
Fax
(503) 892-1826
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 01095 OR
Acupuncturist 171100000X AC01095 OR Primary

Addresses

Primary practice location

1235 SE Division St Ste 115
Portland, OR 97202-1085

Mailing address

1235 SE Division St Ste 115
Portland, OR 97202-1085
Phone (503) 975-9798

Other names 1

  • Nicola A Moll Former name

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

LicenseStateTypeSpecialty
AC 01095ORMDAcupuncturist
AC01095ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1245439470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021085",
            "telephone_number": "503-975-9798",
            "fax_number": "503-892-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021085",
            "telephone_number": "503-975-9798",
            "fax_number": "503-892-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATTLIN",
        "first_name": "NICOLA",
        "middle_name": "MOLL",
        "credential": "MSTOM, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC 01095",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLA",
            "last_name": "MOLL",
            "middle_name": "A",
            "credential": "MSTOM, LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.