Individual provider Active NPI

Joanna Vappi Present Wolfe, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1619271772
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC153685 Issued in OR
Practice address
2330 NW Flanders St
Ste 101
Portland, OR 97210-3442
Phone
(503) 701-8766
NPI assigned
Jan 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC153685 OR Primary

Addresses

Primary practice location

2330 NW Flanders St
Ste 101
Portland, OR 97210-3442

Mailing address

5041 NE 36TH Ave
Portland, OR 97211-7623
Phone (503) 234-8023

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
AC153685ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kwan Yin Healing Arts Center Acupuncturist Past Accepting new patients

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1619271772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 NE 36TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972117623",
            "telephone_number": "503-234-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST",
            "address_2": "STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103442",
            "telephone_number": "503-701-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESENT WOLFE",
        "first_name": "JOANNA",
        "middle_name": "VAPPI",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC153685",
            "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 Jan 4, 2011; 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.