Active NPI
Allyndreth Stead, L.AC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1548571847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC150359
- Practice address
- 8235 SE 13TH Ave Ste 11
Portland, OR 97202-6654 - Phone
- (503) 746-9403
- NPI assigned
- Jul 1, 2010
- Last updated
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC150359 | OR | Primary |
Addresses
Primary practice location
8235 SE 13TH Ave Ste 11
Portland, OR 97202-6654
Mailing address
8235 SE 13TH Ave Ste 11
Portland, OR 97202-6654
Phone (503) 235-7653
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 |
|---|---|---|---|
| AC150359 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Phoenix Acupuncture | Acupuncturist | Current | Accepting new patients |
Locations
6913 SE Foster Rd
Portland, OR 97206
Phone (503) 235-7653
8235 SE 13th Ave
Ste 11
Portland, OR 97202
Phone (503) 746-9403
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1548571847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8235 SE 13TH AVE STE 11",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026654",
"telephone_number": "503-235-7653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8235 SE 13TH AVE STE 11",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026654",
"telephone_number": "503-746-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEAD",
"first_name": "ALLYNDRETH",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC150359",
"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 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.