Individual provider Active NPI

Sarah Jaynes, LAC., MAOM

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1639458003
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC150507 Issued in OR
Practice address
5432 N Maryland Ave
Portland, OR 97217-4548
Phone
(503) 422-5417
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 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 AC150507 OR Primary

Addresses

Primary practice location

5432 N Maryland Ave
Portland, OR 97217-4548

Mailing address

815 N Webster St
Portland, OR 97217-2528
Phone (503) 422-5417

Other names 1

  • Sunny Jaynes Professional name

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
AC150507ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Jaynes Acupuncture 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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1639458003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N WEBSTER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172528",
            "telephone_number": "503-422-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 N MARYLAND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174548",
            "telephone_number": "503-422-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNES",
        "first_name": "SARAH",
        "credential": "LAC., MAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC150507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNNY",
            "last_name": "JAYNES",
            "credential": "LAC., MAOM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Aug 16, 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.