Teresa Nicola, LAC, DACM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC223914 Issued in OR

Practice address

2262 N Albina Ave # 110
Portland, OR 97227-1792

Phone

(503) 493-9389

NPI assigned

Jan 22, 2025

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

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.

• Acupuncture Northwest

  • Acupuncturist
  • Portland, OR
  • NPI 1497995583
  NPD (past)

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1861204265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 N ALBINA AVE # 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271792",
            "telephone_number": "503-493-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 N ALBINA AVE # 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271792",
            "telephone_number": "503-493-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLA",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "LAC, DACM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC223914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tever D Nickerson, L.P.C.
• Suzanne Jensen Nicks, SLP
• Lindsey E. Nicol, M.D.
• Lauren Nicola-Ducey, M.D.
• Dennis Crandall Nicola, D.D.S.
• Paul Jeffrey Nicolai, N.D.
• Christina Mary Nicolaidis, MD
• Luciano Nicolas Jr.
• Grant Nicolaus
• Nicole Brown Prof Corp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.