Active NPI
Carol McIntyre, ND, LAC
- Naturopath
- Vernonia, OR
National Provider Identifier
1710213202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1726
- Practice address
- 786 Bridge St
Vernonia, OR 97064-1144 - Phone
- (503) 481-4096
- Fax
- (503) 429-7209
- NPI assigned
- Oct 19, 2009
- Last updated
- Aug 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 140949 | OR | |
| Naturopath | 175F00000X | 1726 | OR | Primary |
Addresses
Primary practice location
786 Bridge St
Vernonia, OR 97064-1144
Mailing address
1004 Rose Ave
Vernonia, OR 97064-1144
Phone (503) 481-4096
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
| License | State | Type | Specialty |
|---|---|---|---|
| 140949 | OR | MD | Acupuncturist |
| 1726 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Path Health Services | 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, 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": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1710213202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 ROSE AVE",
"city": "VERNONIA",
"state": "OR",
"postal_code": "970641144",
"telephone_number": "503-481-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "786 BRIDGE ST",
"city": "VERNONIA",
"state": "OR",
"postal_code": "970641144",
"telephone_number": "503-481-4096",
"fax_number": "503-429-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "CAROL",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-19",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "140949",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernonia, OR
- Brandon Gilbertson, ATC
- Jennifer Hayes, L.M.T.
- Irby Pharmacy, LLC
- Heather L Lewis, LMT
- Massage by Erica
- Natural Path Health Services
- Northwest Medical Foundation of Tillamook (Adventist Health Tillamook Medical Group - Vernonia)
- Lynn Dyett Nowland, RN
- Julia Martin Otterlei, N.P.
- Fariba Safaiyan, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.