Active NPI
Kathryn Winslett Carr, L.AC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1861822058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC165587
- Practice address
- 2701 NW Vaughn St Ste 205
Portland, OR 97210-5352 - Phone
- (503) 227-4050
- NPI assigned
- Nov 25, 2013
- Last updated
- Feb 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC165587 | OR | Primary |
Addresses
Primary practice location
2701 NW Vaughn St Ste 205
Portland, OR 97210-5352
Mailing address
615 SE 34TH Ave
Portland, OR 97214-3111
Phone (503) 890-3011
Other practice location 1
1330 SE Cesar E Chavez Blvd
Portland, OR 97214-4322
Phone (503) 232-1100
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC165587 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Natural Medicine, Inc | Acupuncturist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/22798/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1043317928
Acupuncturist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1861822058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SE 34TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143111",
"telephone_number": "503-890-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 NW VAUGHN ST STE 205",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972105352",
"telephone_number": "503-227-4050"
}
],
"practiceLocations": [
{
"address_1": "1330 SE Cesar E Chavez Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972144322",
"country_code": "US",
"telephone_number": "503-232-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "KATHRYN",
"middle_name": "WINSLETT",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2021-02-05",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC165587",
"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 Feb 5, 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.