Active NPI
Anne Elizabeth Pernichele, DC
- Pediatric Chiropractor
- Lake Oswego, OR
National Provider Identifier
1295980076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 3290
- Practice address
- 1250 Sunningdale Rd
Lake Oswego, OR 97034-1739 - Phone
- (503) 805-9183
- Fax
- (503) 635-2415
- NPI assigned
- Nov 20, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 3290 | OR | Primary |
| Nutrition Education Nutritionist | 133NN1002X |
Addresses
Primary practice location
1250 Sunningdale Rd
Lake Oswego, OR 97034-1739
Mailing address
1250 Sunningdale Rd
Lake Oswego, OR 97034-1739
Phone (503) 805-9183
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 |
|---|---|---|---|
| 3290 | OR | MD | Pediatric Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1295980076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 SUNNINGDALE RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970341739",
"telephone_number": "503-805-9183",
"fax_number": "503-635-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SUNNINGDALE RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970341739",
"telephone_number": "503-805-9183",
"fax_number": "503-635-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERNICHELE",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "OR",
"license": "3290",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.