Carli Gaines, RN, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC169497 Issued in OR

Practice address

151 SW Shevlin Hixon Dr Ste 101
Bend, OR 97702-3232

Phone

(541) 797-3412

Fax

(541) 610-1557

NPI assigned

Oct 20, 2014

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carli Mueller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Acupuncture Cascadia

  • Acupuncturist
  • Bend, OR
  • NPI 1841721495
  NPD (past)

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1619371622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 NE TAURUS CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016472",
            "telephone_number": "541-797-9962",
            "fax_number": "541-610-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SW SHEVLIN HIXON DR STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023232",
            "telephone_number": "541-797-3412",
            "fax_number": "541-610-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "CARLI",
        "credential": "RN, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200841742RN",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC169497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLI",
            "last_name": "MUELLER",
            "credential": "RN, LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriel Goldman Chiropractic Professional Corporation
• Gabrielle Wade LLC
• Joshua James Gage
• Regan Gage, M.D.
• Janet Lynn Gagliardi
• David Andrew Gaines, LAC
• Amanda Galbraith
• Emily Elizabeth Galbraith
• Freya Angelica Galeazzi
• Marlon Galindo

• Acupuncturist in Bend, OR
• Providers in Bend, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.