Individual provider Active NPI

Danielle Jean Melanson, LAC DIP. OM

  • Acupuncturist
  • Hood River, OR
National Provider Identifier
1902083363
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01169 Issued in OR
Practice address
208 State St
Suite 5
Hood River, OR 97031
Phone
(503) 701-1854
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01169 OR Primary

Addresses

Primary practice location

208 State St
Suite 5
Hood River, OR 97031

Mailing address

401 Eugene St
Hood River, OR 97031-2230
Phone (503) 701-1854

Other practice location 1

8113 SE 13th Ave
Portland, OR 97202-6607
Phone (503) 232-5653

Other identifiers 2

IdentifierTypeStateIssuer
99984OtherORNCCAOM CERTIFICATION
AC01169OtherOROREGON BME, LICENSE

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
AC01169ORMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1902083363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EUGENE ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312230",
            "telephone_number": "503-701-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 STATE ST",
            "address_2": "SUITE 5",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "97031",
            "telephone_number": "503-701-1854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8113 SE 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026607",
            "country_code": "US",
            "telephone_number": "503-232-5653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELANSON",
        "first_name": "DANIELLE",
        "middle_name": "JEAN",
        "credential": "LAC DIP. OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM CERTIFICATION",
            "identifier": "99984",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BME, LICENSE",
            "identifier": "AC01169",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.