Active NPI
Gina Snowden, LAC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1871244285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC206400
- Practice address
- 11505 NE Yacht Harbor Dr
Portland, OR 97217-3575 - Phone
- (808) 381-9618
- NPI assigned
- Jan 17, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC206400 | OR | Primary |
| Acupuncturist | 171100000X | ACU-1256 | HI |
Addresses
Primary practice location
11505 NE Yacht Harbor Dr
Portland, OR 97217-3575
Mailing address
11530 NE Yacht Harbor Dr # D303
Portland, OR 97217-3590
Phone (808) 381-9618
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://acusimple.com/access/7847/#/portal/ | Direct |
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 |
|---|---|---|---|
| ACU-1256 | HI | MD | Acupuncturist |
| AC206400 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root Whole Body Health, Inc | Acupuncturist | Past | Accepting new patients |
| Root Whole Body Health, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Naturopath
- Portland, OR
- NPI 1497912752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1871244285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11530 NE YACHT HARBOR DR # D303",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972173590",
"telephone_number": "808-381-9618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11505 NE YACHT HARBOR DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972173575",
"telephone_number": "808-381-9618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOWDEN",
"first_name": "GINA",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC206400",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "ACU-1256",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://acusimple.com/access/7847/#/portal/",
"affiliation": "N",
"endpointDescription": "Patient Portal",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient Portal",
"address_1": "11505 NE Yacht Harbor Dr",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972173575",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 17, 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.