Individual provider Active NPI

Karen Elizabeth Edmisten, ND, LAC

  • Naturopath
  • Newport, OR
National Provider Identifier
1295870012
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
OR 733 Issued in OR
Practice address
344 SW 7TH St Ste B
Newport, OR 97365-4915
Phone
(541) 265-6378
Fax
(541) 265-6378
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X OR 733 OR Primary
Acupuncturist 171100000X AC00187 OR

Addresses

Primary practice location

344 SW 7TH St Ste B
Newport, OR 97365-4915

Mailing address

344 SW 7TH St Ste B
Newport, OR 97365-4915
Phone (541) 265-6378

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
AC00187ORMDAcupuncturist
OR 733ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1295870012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 SW 7TH ST STE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654915",
            "telephone_number": "541-265-6378",
            "fax_number": "541-265-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 SW 7TH ST STE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654915",
            "telephone_number": "541-265-6378",
            "fax_number": "541-265-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTEN",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "OR 733",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.