Individual provider Active NPI

Vanessa Leilani Tucker, LAC

  • Acupuncturist
  • Newport, OR
National Provider Identifier
1699590935
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC222827 Issued in OR
Practice address
111 SE Douglas St # F-3
Newport, OR 97365-4499
Phone
(805) 826-8594
NPI assigned
Nov 21, 2024
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC222827 OR Primary

Addresses

Primary practice location

111 SE Douglas St # F-3
Newport, OR 97365-4499

Mailing address

1203B N Signal St
Ojai, CA 93023-1831
Phone (805) 826-8594

Other names 1

  • Ms. Vanessa Leilani Tucker 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
AC222827ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Alleviate Acupuncture LLC Acupuncturist CurrentSince May 18, 2025 Accepting new patients

Locations

111 SE Douglas St
#F3
Newport, OR 97365
Phone (805) 826-8594

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1699590935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203B N SIGNAL ST",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930231831",
            "telephone_number": "805-826-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SE DOUGLAS ST # F-3",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654499",
            "telephone_number": "805-826-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "VANESSA",
        "middle_name": "LEILANI",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC222827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "TUCKER",
            "middle_name": "LEILANI",
            "prefix": "MS.",
            "credential": "LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.