Individual provider Active NPI

Gina Snowden, LAC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1871244285
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC206400 Issued in OR
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

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
ACU-1256HIMDAcupuncturist
AC206400ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Root Whole Body Health, Inc Acupuncturist PastSince Oct 16, 2022 Accepting new patients
Root Whole Body Health, Inc PastSince Oct 16, 2022 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.

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.

Verify at the official NPI Registry.