Individual provider Active NPI

Laura B Stice, LAC, LMT

  • Acupuncturist
  • Eugene, OR
National Provider Identifier
1689792467
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00711 Issued in OR
Practice address
1274 W 7TH Ave
Eugene, OR 97402-4523
Phone
(541) 762-1755
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 5904 OR
Acupuncturist 171100000X AC00711 OR Primary

Addresses

Primary practice location

1274 W 7TH Ave
Eugene, OR 97402-4523

Mailing address

1377 Arthur St
Eugene, OR 97402-3511
Phone (541) 343-5228

Other practice location 1

1377 Arthur St
Eugene, OR 97402-3511
Phone (541) 343-5228

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
AC00711ORMDAcupuncturist
5904ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Movement Project CurrentSince Aug 28, 2022 Accepting new patients

Locations

1274 W 7th Ave
Eugene, OR 97402
Phone (541) 505-4000

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1689792467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 ARTHUR ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023511",
            "telephone_number": "541-343-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 W 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024523",
            "telephone_number": "541-762-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1377 Arthur St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974023511",
            "country_code": "US",
            "telephone_number": "541-343-5228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICE",
        "first_name": "LAURA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LAC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5904",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.