Grady Clemence Nesbitt, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

185138 Issued in OR

Practice address

3537 N Williams Ave
Portland, OR 97227-1437

Phone

(720) 273-4254

NPI assigned

Feb 11, 2019

Last updated

Feb 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heart Spring Health LLC

  dba Heart Spring Health

  • Naturopath
  • Portland, OR
  • NPI 1043572852

  Acupuncturist

  NPD (past)
• The Rewilding Practice LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1891672903
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1710443114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 NE TILLAMOOK ST APT 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124062",
            "telephone_number": "720-273-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 N WILLIAMS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271437",
            "telephone_number": "720-273-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "GRADY",
        "middle_name": "CLEMENCE",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "185138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Neroes
• George Anthony Nervez
• Ryan Nesbit Deane, MD
• Eric Nesbit, M.D.
• Gary Merlin Nesbit, MD
• Kelly A Nesbitt, OTR/L, CAPS, ECHM
• Kimberly Ann Nesbitt
• Sarah Elaine Nesbitt, LCSW
• Derrick Leo Neshem, RD
• Meghan Allison Nesmith, M.D.

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.