Individual provider Active NPI

Kimberly Ann Klingele, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1841612298
Registry record updated Jan 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC166455 Issued in OR
Practice address
2330 NW Flanders St Ste 101
Portland, OR 97210-3400
Phone
(503) 701-8766
NPI assigned
Jan 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC166455 OR Primary

Addresses

Primary practice location

2330 NW Flanders St Ste 101
Portland, OR 97210-3400

Mailing address

13020 SW 22ND St
Beaverton, OR 97008-5031
Phone (503) 475-4682

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
AC166455ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kwan Yin Healing Arts Center 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390003200000",
    "number": "1841612298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 SW 22ND ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085031",
            "telephone_number": "503-475-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103400",
            "telephone_number": "503-701-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGELE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-18",
        "last_updated": "2014-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC166455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2014; 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.