Individual provider Active NPI

Kim Marie Messier, L.AC.

  • Acupuncturist
  • Bend, OR
National Provider Identifier
1457505737
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01209 Issued in OR
Practice address
17445 Snow Goose Rd
Bend, OR 97707-2333
Phone
(541) 948-9455
Fax
(541) 550-7530
NPI assigned
Nov 12, 2008
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01209 OR Primary

Addresses

Primary practice location

17445 Snow Goose Rd
Bend, OR 97707-2333

Mailing address

17445 Snow Goose Rd
Bend, OR 97707-2333
Phone (541) 948-9455

Other names 1

  • Ms. Kim Marie Labenski Former name

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
AC01209ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Needlefish, Inc. Acupuncturist CurrentSince Aug 1, 2021 Accepting new patients

Locations

62910 Riley Rd
Ste 150
Bend, OR 97703

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": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1457505737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17445 SNOW GOOSE RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977072333",
            "telephone_number": "541-948-9455",
            "fax_number": "541-550-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17445 SNOW GOOSE RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977072333",
            "telephone_number": "541-948-9455",
            "fax_number": "541-550-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSIER",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "LABENSKI",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.