Simon Sharkey-Jacoby

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC185992 Issued in OR

Practice address

1320 NW 20TH Ave
Portland, OR 97209-1607

Phone

(503) 610-3307

NPI assigned

Jan 29, 2018

Sex

Male

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

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467950089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 N CONCORD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271013",
            "telephone_number": "503-806-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NW 20TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091607",
            "telephone_number": "503-610-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 SE Ankeny St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141448",
            "country_code": "US",
            "telephone_number": "503-447-6807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARKEY-JACOBY",
        "first_name": "SIMON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC185992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharice Burnett, LCSW, LLC
• Shimi Sharief, MD
• Askina S Sharif
• Crystal Sharifi, MSW
• Ghazaleh Sharifi, PHARMD
• Corinne Sharlet
• Adamya Sharma
• Anil Sharma, M.D.
• Harsh R. Sharma, DO
• Nikhil Sharma, DC

• 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 Mar 17, 2018; 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.