Active NPI
Gloria Jean Nepstead, L.AC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1871542647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00194
- Practice address
- 2901 E Burnside St
Portland, OR 97214-1831 - Phone
- (503) 238-5203
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 | AC00194 | OR | Primary |
Addresses
Primary practice location
2901 E Burnside St
Portland, OR 97214-1831
Mailing address
3200 NW Skyline Blvd
Portland, OR 97229-3815
Phone (503) 291-7133
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 |
|---|---|---|---|
| AC00194 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871542647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 NW SKYLINE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972293815",
"telephone_number": "503-291-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141831",
"telephone_number": "503-238-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEPSTEAD",
"first_name": "GLORIA",
"middle_name": "JEAN",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00194",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.