Active NPI
Holly Arbuckle, L.AC
- Acupuncturist
- Cottage Grove, OR
National Provider Identifier
1801973839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00814
- Practice address
- 78590 Echo Hollow LN
Cottage Grove, OR 97424-8552 - Phone
- (541) 767-0162
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00814 | OR | Primary |
Addresses
Primary practice location
78590 Echo Hollow LN
Cottage Grove, OR 97424-8552
Mailing address
78590 Echo Hollow LN
Cottage Grove, OR 97424-8552
Phone (541) 767-0162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC00814 | Other | OR | STATE LICENSE |
Other names 1
- Holly Callaway Jones
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 |
|---|---|---|---|
| AC00814 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801973839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78590 ECHO HOLLOW LN",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974248552",
"telephone_number": "541-767-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78590 ECHO HOLLOW LN",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974248552",
"telephone_number": "541-767-0162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARBUCKLE",
"first_name": "HOLLY",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AC00814",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "JONES",
"middle_name": "CALLAWAY",
"credential": "L.AC.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.