Individual provider Active NPI

Kathryn Winslett Carr, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1861822058
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC165587 Issued in OR
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC165587ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Natural Medicine, Inc Acupuncturist PastSince Mar 14, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.