Individual provider Active NPI

Kimberly Rose Culligan, LAC

  • Acupuncturist
  • Eugene, OR
National Provider Identifier
1831510726
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
166186 Issued in OR
Practice address
388 Pearl St Ste 2
Eugene, OR 97401-3142
Phone
(458) 245-1302
NPI assigned
Dec 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 166186 OR Primary

Addresses

Primary practice location

388 Pearl St Ste 2
Eugene, OR 97401-3142

Mailing address

2186 Sally Way
Eugene, OR 97401-5110
Phone (582) 451-3024

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
166186ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1831510726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 SALLY WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015110",
            "telephone_number": "582-451-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 PEARL ST STE 2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013142",
            "telephone_number": "458-245-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLIGAN",
        "first_name": "KIMBERLY",
        "middle_name": "ROSE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "166186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.