Agnieszka Mglej Kemp

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC169995 Issued in OR

Practice address

29980 Ellensburg Ave
Gold Beach, OR 97444-7808

Phone

(541) 247-7000

Fax

(541) 247-9000

NPI assigned

Apr 22, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vibrant Health Center LLC

  • Acupuncturist
  • Gold Beach, OR
  • NPI 1144628777
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1467849968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974440727",
            "telephone_number": "541-247-7000",
            "fax_number": "541-247-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29980 ELLENSBURG AVE",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447808",
            "telephone_number": "541-247-7000",
            "fax_number": "541-247-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MGLEJ KEMP",
        "first_name": "AGNIESZKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC169995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kely McConnell Regan
• Shilo Marie McKenzie, CNMNP
• Alyssa Ashley McNair
• Barbara Lynne Meininger, LCSW
• Metasequoia Emergency Physicians, LLC
• Michael O'Gara
• Barbara Michaelis, MD
• Laura Middleton, CD(DONA)
• Kay Minkler
• Miranda Medical PLLC

• Acupuncturist in Gold Beach, OR
• Providers in Gold Beach, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.