Active NPI
Lindsay Nicholson
- Chiropractor
- Clackamas, OR
National Provider Identifier
1245865153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6069
- Practice address
- 8810 SE Sunnybrook Blvd Ste 100
Clackamas, OR 97015-6805 - Phone
- (503) 607-2226
- NPI assigned
- Mar 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6069 | OR | Primary |
Addresses
Primary practice location
8810 SE Sunnybrook Blvd Ste 100
Clackamas, OR 97015-6805
Mailing address
1450 N Prescott St Apt 406
Portland, OR 97217-3207
Phone (971) 517-5086
Other practice location 1
10915 SE Stark St
Portland, OR 97216-3348
Phone (503) 261-1120
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | clackamas |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Health Acupuncture | Current | Accepting new patients |
Locations
8810 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
Phone (503) 261-1120
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.
-
- Acupuncturist
- Clackamas, OR
- NPI 1184040255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1245865153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 N PRESCOTT ST APT 406",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972173207",
"telephone_number": "971-517-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8810 SE SUNNYBROOK BLVD STE 100",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970156805",
"telephone_number": "503-607-2226"
}
],
"practiceLocations": [
{
"address_1": "10915 SE Stark St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972163348",
"country_code": "US",
"telephone_number": "503-261-1120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLSON",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6069",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "clackamas",
"affiliation": "N",
"address_1": "8810 SE Sunnybrook Blvd Ste 100",
"city": "Clackamas",
"state": "OR",
"country_code": "US",
"postal_code": "970156805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.