Bosten Ingram, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC212490 Issued in OR

Practice address

306 Oak St
Silverton, OR 97381-1719

Phone

(503) 874-6047

NPI assigned

Aug 4, 2022

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Female

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

Locations

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.

• Atsa Acupuncture

  • Clinic/Center
  • Mount Angel, OR
  • NPI 1679394787
  NPD Authorized official

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1841927316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 BRIAR KNOB LOOP NE",
            "city": "SCOTTS MILLS",
            "state": "OR",
            "postal_code": "973759637",
            "telephone_number": "541-550-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 OAK ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811719",
            "telephone_number": "503-874-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "BOSTEN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC212490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Hupp, BSN RN
• Ethan K Hupp
• Kelsey Rose Hupp, FNP
• Erin Irene Hutchison, ARNP
• Jim Ilg, OTR/L, CDRS
• James P. Nealon, MD, PC (James P. Nealon, MD, FACS)
• Jennifer Poindexter ND LLC (Silver Creek Natural Medicine LLC)
• Jenniferann Counseling
• James Waldemar Jensen, M.D.
• Jhso Corporation (Hi-School Pharmacy #1178 Long Term Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.