Individual provider Active NPI

Sita Symonette, L.AC

  • Acupuncturist
  • Milwaukie, OR
National Provider Identifier
1659608396
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC150411 Issued in OR
Practice address
3880 SE Harrison St
Milwaukie, OR 97222-5854
Phone
(503) 513-4665
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC150411 OR Primary

Addresses

Primary practice location

3880 SE Harrison St
Milwaukie, OR 97222-5854

Mailing address

927 N Watts St
Portland, OR 97217-1135

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
AC150411ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Path Holistic Medicine Clinic, LLC Acupuncturist Past Accepting new patients
Healing Path Holistic Medicine Clinic Acupuncturist Past Accepting new patients
Healthy Happy Now Natural Medicine Acupuncturist Past Accepting new patients

Organizations & group practices 3

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": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1659608396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 N WATTS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SE HARRISON ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225854",
            "telephone_number": "503-513-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMONETTE",
        "first_name": "SITA",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC150411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.