Active NPI
Celisha Runne Gerber, ND, LAC
- Naturopath
- Medford, OR
National Provider Identifier
1487950432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 2088
- Practice address
- 836 E Main St
Suite 5
Medford, OR 97504-7115 - Phone
- (407) 257-3557
- NPI assigned
- Feb 8, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60162000 | WA | |
| Acupuncturist | 171100000X | 247 | TN | |
| Naturopath | 175F00000X | 2088 | OR | Primary |
| Acupuncturist | 171100000X | AC 171363 | OR |
Addresses
Primary practice location
836 E Main St
Suite 5
Medford, OR 97504-7115
Mailing address
836 E Main St
Suite 5
Medford, OR 97504-7115
Phone (407) 257-3557
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 |
|---|---|---|---|
| AC 171363 | OR | MD | Acupuncturist |
| 2088 | OR | MD | Naturopath |
| NT60162000 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ndcare LLC | Acupuncturist | Current | Accepting new patients |
Locations
836 E Main St
Ste 5
Medford, OR 97504
Phone (407) 257-3557
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1487950432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 E MAIN ST",
"address_2": "SUITE 5",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047115",
"telephone_number": "407-257-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 E MAIN ST",
"address_2": "SUITE 5",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047115",
"telephone_number": "407-257-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBER",
"first_name": "CELISHA",
"middle_name": "RUNNE",
"name_prefix": "Dr.",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60162000",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TN",
"license": "247",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "2088",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC 171363",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.