Active NPI
Stephen Philip Levy, N.D., L.AC., L.M.T.
- Naturopath
- Portland, OR
National Provider Identifier
1528408291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1893
- Practice address
- 1016 SE 12TH Ave
Portland, OR 97214-2513 - Phone
- (503) 831-8116
- Fax
- (503) 410-7116
- NPI assigned
- Jun 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC157837 | OR | |
| Naturopath | 175F00000X | 1893 | OR | Primary |
Addresses
Primary practice location
1016 SE 12TH Ave
Portland, OR 97214-2513
Mailing address
16785 SW Annie LN
Aloha, OR 97078-2505
Phone (503) 720-7418
Other practice location 1
1221 SE Madison St
Portland, OR 97214-3890
Phone (503) 445-7767
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drstephenlevy@org66.direct.charmhealth.com | Direct | |
| Direct Messaging Address | drstephenlevy@org66.direct.charmhealth.com | Direct |
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 |
|---|---|---|---|
| AC157837 | OR | MD | Acupuncturist |
| 1893 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1528408291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16785 SW ANNIE LN",
"city": "ALOHA",
"state": "OR",
"postal_code": "970782505",
"telephone_number": "503-720-7418",
"fax_number": "503-410-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 SE 12TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142513",
"telephone_number": "503-831-8116",
"fax_number": "503-410-7116"
}
],
"practiceLocations": [
{
"address_1": "1221 SE Madison St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972143890",
"country_code": "US",
"telephone_number": "503-445-7767",
"fax_number": "503-459-4221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVY",
"first_name": "STEPHEN",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "N.D., L.AC., L.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-26",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC157837",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1893",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drstephenlevy@org66.direct.charmhealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1016 SE 12th Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972142513",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drstephenlevy@org66.direct.charmhealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1016 SE 12th Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972142513",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.