Active NPI
Jasmine Patel, MSAOM, LAC
- Acupuncturist
- Tigard, OR
National Provider Identifier
1407919350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0965
- Practice address
- 9735 SW Shady LN
Suite 306
Tigard, OR 97223-5481 - Phone
- (503) 573-4239
- Fax
- (503) 573-4241
- NPI assigned
- Dec 19, 2006
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0965 | OR | Primary |
| Acupuncturist | 171100000X | 00002104 | WA |
Addresses
Primary practice location
9735 SW Shady LN
Suite 306
Tigard, OR 97223-5481
Mailing address
9735 SW Shady LN
Suite 306
Tigard, OR 97223-5481
Phone (503) 573-4239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00002104 | Other | WA | ACUPUNCTURE LICENSE NUMBE |
| 0965 | Other | OR | ACUPUNCTURE LICENSE NUMBE |
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 |
|---|---|---|---|
| 0965 | OR | MD | Acupuncturist |
| 00002104 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1407919350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 SW SHADY LN",
"address_2": "SUITE 306",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235481",
"telephone_number": "503-573-4239",
"fax_number": "503-573-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 SW SHADY LN",
"address_2": "SUITE 306",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235481",
"telephone_number": "503-573-4239",
"fax_number": "503-573-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JASMINE",
"credential": "MSAOM, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "0965",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "00002104",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE NUMBE",
"identifier": "00002104",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE NUMBE",
"identifier": "0965",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.