Organization Active NPI

Lagniappe Acupuncture LLC

  • Health Maintenance Organization
  • Camas, WA
National Provider Identifier
1275947475
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
AC165105 Issued in OR
Legal business name
LAGNIAPPE ACUPUNCTURE LLC
Practice address
839 NW Sacajawea PL
Camas, WA 98607-4104
Phone
(504) 451-1666
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Theresa Atchley, L.AC.
Title
Owner
Phone
(504) 451-1666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X AC165105 OR Primary

Addresses

Primary practice location

839 NW Sacajawea PL
Camas, WA 98607-4104

Mailing address

8040 NE Sandy Blvd Ste 100a
Portland, OR 97213-7100
Phone (504) 451-1666

National Provider Directory

National Provider Directory

Locations

8040 NE Sandy Blvd
Ste 100A
Portland, OR 97213
Phone (503) 841-6079

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1275947475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 NE SANDY BLVD STE 100A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972137100",
            "telephone_number": "504-451-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 NW SACAJAWEA PL",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986074104",
            "telephone_number": "504-451-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGNIAPPE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "ATCHLEY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-451-1666",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "AC165105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.