Individual provider Active NPI

Elizabeth Smith, ND, LAC, LMT

  • Naturopath
  • Bend, OR
National Provider Identifier
1851063341
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4421 Issued in OR
Practice address
2146 NE 4TH St Ste 160
Bend, OR 97701-3618
Phone
(541) 306-4471
Fax
(541) 566-7493
NPI assigned
Oct 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC209012 OR
Massage Therapist 225700000X 26825 OR
Massage Therapist 225700000X 5752 AL
Naturopath 175F00000X 4421 OR Primary

Addresses

Primary practice location

2146 NE 4TH St Ste 160
Bend, OR 97701-3618

Mailing address

2146 NE 4TH St Ste 160
Bend, OR 97701-3618
Phone (907) 317-8437

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
4421ORMDClinical Social Worker
5752ALMDOrthodontics and Dentofacial Orthopedic Dentist
AC209012ORMDAcupuncturist
26825ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calley Asbill, ND LLC Acupuncturist PastSince Oct 10, 2021 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": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1851063341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 NE 4TH ST STE 160",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013618",
            "telephone_number": "907-317-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 NE 4TH ST STE 160",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013618",
            "telephone_number": "541-306-4471",
            "fax_number": "541-566-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "credential": "ND, LAC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-02",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC209012",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26825",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "5752",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.