Lindsey Johnson

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC202576 Issued in OR

Practice address

3125 E Burnside St
Portland, OR 97214-2073

Phone

(503) 758-9760

NPI assigned

Dec 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• Mandala Medicine Acupuncture LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1952600124
  NPD
• Evolve Wellness

  • Chiropractor
  • Portland, OR
  • NPI 1033518709
  NPD (past)

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1467058909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 NE 8TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123859",
            "telephone_number": "661-600-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142073",
            "telephone_number": "503-758-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC202576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lindsey@mandalamedicinepdx.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3125 E Burnside St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972142073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lavonda Leeann Johnson
• Leah J Johnson, MD
• Lindley Robert Johnson, LPC, MAC
• Lindsay Johnson
• Lindsay Marie Johnson, ND
• Lisa K Johnson, MD
• Lisa Noel Johnson, M.D.
• Lorenzo Johnson V, BS QMHA
• Lori Johnson
• Lynn Louise Johnson, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.