Individual provider Active NPI

Taya S. Lindley, LAC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1508847468
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00655 Issued in OR
Practice address
404 SE 80TH Ave
Portland, OR 97215-1528
Phone
(503) 335-3201
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00655 OR Primary

Addresses

Primary practice location

404 SE 80TH Ave
Portland, OR 97215-1528

Mailing address

404 SE 80TH Ave
Portland, OR 97215-1528
Phone (503) 349-5743

Other practice location 1

3942 SE Hawthorne Blvd
Portland, OR 97214-5242
Phone (503) 235-5484

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
AC00655ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1508847468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SE 80TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151528",
            "telephone_number": "503-349-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SE 80TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151528",
            "telephone_number": "503-335-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3942 SE Hawthorne Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972145242",
            "country_code": "US",
            "telephone_number": "503-235-5484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDLEY",
        "first_name": "TAYA",
        "middle_name": "S.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.