NPIMap

Organization Active NPI

Ndcare LLC

  • Naturopath
  • Medford, OR
National Provider Identifier
1306476395
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
NDCARE LLC
Practice address
836 E Main St Ste 5
Medford, OR 97504-7115
Phone
(541) 773-8111
Fax
(541) 773-9501
NPI assigned
Jan 19, 2020
Last updated
Jan 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Authorized official

Name
Celisha Runne Gerber, ND, LACNPI 1487950432
Title
Owner
Phone
(407) 257-3557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU
Naturopath 175F00000X NU Primary

Addresses

Primary practice location

836 E Main St Ste 5
Medford, OR 97504-7115

Mailing address

PO Box 1421
Medford, OR 97501-0106
Phone (541) 773-8111

Other identifiers 1

IdentifierTypeStateIssuer
500731820MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.officeally.com/secure_oa.asp

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579392000000",
    "number": "1306476395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1421",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010106",
            "telephone_number": "541-773-8111",
            "fax_number": "541-773-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E MAIN ST STE 5",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047115",
            "telephone_number": "541-773-8111",
            "fax_number": "541-773-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "CELISHA",
        "authorized_official_middle_name": "RUNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-257-3557",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500731820",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.officeally.com/secure_oa.asp",
            "affiliation": "N",
            "address_1": "836 E Main St Ste 5",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975047115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.