Yvette Bedrossian, LAC

Key facts

NPI

1629549191

Entity type

Individual (NPI type 1)

Primary specialty

Acupuncturist 171100000X

License

AC190746 (OR)

Practice address

258 A St Ste 21
Ashland, OR 97520-1947

Phone

(541) 301-7040

NPI assigned

Dec 10, 2018

Sex

Female

Sole proprietor

Yes

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.

• Community Acupuncture and Natural Health LLC Acupuncturist · Ashland, OR · NPI 1245744556
  NPD (past) ACUPUNCTURIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 10, 2018.

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1629549191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 A ST UNIT 21",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 A ST STE 21",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201947",
            "telephone_number": "541-301-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 W D St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "OR",
            "postal_code": "975300038",
            "country_code": "US",
            "telephone_number": "559-270-3997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 A St Ste 21",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975201947",
            "country_code": "US",
            "telephone_number": "541-301-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDROSSIAN",
        "first_name": "YVETTE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC190746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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