Mandi Rae Schwendiman, LAC MAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00630 Issued in OR

Practice address

724 Lyon St SW
Albany, OR 97321-2921

Phone

(541) 928-2171

Fax

(541) 981-2113

NPI assigned

Feb 22, 2007

Last updated

Mar 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Albany Acupuncture Clinic, Inc

  • Acupuncturist
  • Albany, OR
  • NPI 1003553355
  NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1396870960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "TANGENT",
            "state": "OR",
            "postal_code": "973890311",
            "telephone_number": "541-928-2171",
            "fax_number": "541-928-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 LYON ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212921",
            "telephone_number": "541-928-2171",
            "fax_number": "541-981-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWENDIMAN",
        "first_name": "MANDI",
        "middle_name": "RAE",
        "credential": "LAC MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSE",
            "identifier": "AC00630",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM",
            "identifier": "17898",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Schroeder
• Mia Schroer, MA
• Acacia Rene Schubert
• Sherrinia Tinag Schubert
• Keith A Schulze, MD
• Angela Scott
• Christopher Lee Scott
• Edward Reuben Scott, CADC I
• Jacquelynn Renee Scott, CADC-R
• David Scully, LCSW

• Acupuncturist in Albany, OR
• Providers in Albany, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.