Individual provider Active NPI

Jennifer M Ward, LAC

  • Acupuncturist
  • Lake Oswego, OR
National Provider Identifier
1356730956
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC170268 Issued in OR
Practice address
4847 Meadows Rd
Suite 153
Lake Oswego, OR 97035-2509
Phone
(503) 719-5335
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC170268 OR Primary

Addresses

Primary practice location

4847 Meadows Rd
Suite 153
Lake Oswego, OR 97035-2509

Mailing address

3970 N Interstate Ave
Unit 309
Portland, OR 97227-1082
Phone (917) 701-5678

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
AC170268ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Asula Chiropractic and Wellness Center, Inc. Acupuncturist PastSince Nov 1, 2011 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1356730956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 N INTERSTATE AVE",
            "address_2": "UNIT 309",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271082",
            "telephone_number": "917-701-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 MEADOWS RD",
            "address_2": "SUITE 153",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352509",
            "telephone_number": "503-719-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC170268",
            "primary": true
        }
    ],
    "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 Jan 20, 2015; 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.