Compass Proactive Health Care LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

COMPASS PROACTIVE HEALTH CARE LLC

Practice address

315 W Broadway Ste 100
Eugene, OR 97401-3081

Phone

(541) 206-2271

Fax

(541) 470-8729

NPI assigned

Jan 20, 2023

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shane Patrick TraceyNPI 1487401386

Title

Member

Phone

(541) 206-2271

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shane Patrick Tracey, NBC-HWC

  • Health & Wellness Coach
  • Eugene, OR
  • NPI 1487401386
  NPD Authorized official
• Christi A Van Deusen, PT

  • Physical Therapist
  • Eugene, OR
  • NPI 1477606002
  Medicare reassignment
• Brandon Ryan Christy, D.C

  • Chiropractor
  • Portland, OR
  • NPI 1871047431
  NPD
• Matthew D Freedman, DC

  • Chiropractor
  • Eugene, OR
  • NPI 1073532370
  NPD
• Mitchell Penninger, DC

  • Chiropractor
  • Eugene, OR
  • NPI 1184128845
  NPD
• Tiffany Rose Petry, LAC

  • Acupuncturist
  • Eugene, OR
  • NPI 1821702200
  NPD
• Heather R Anderson, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1871193490
  NPD (past)
• Jennifer L Nyberg

  • Chiropractor
  • Eugene, OR
  • NPI 1063456200
  NPD (past)
• Michael Thomas Wise, DC

  • Chiropractor
  • Redmond, OR
  • NPI 1215929591
  NPD (past)

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1790490035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 PORTLAND ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974055140",
            "telephone_number": "541-968-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W BROADWAY STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013081",
            "telephone_number": "541-206-2271",
            "fax_number": "541-470-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PROACTIVE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "TRACEY",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-206-2271"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Comley
• Gabriela Commons
• Community Medical Services Montana-Private, LLC (CMS Eugene)
• Community Outreach Through Radical Empowerment (Core)
• Community Rehabilitation Services of Oregon
• Complementary Health Services LLC
• Comprehensive Physical Therapy, Inc.
• James D Conaghan
• Concierge Audiology LLC
• Nichole Jolene Confer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.