Individual provider Active NPI

Johanna Lanin, LAC,LMT

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1912125287
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00685 Issued in OR
Practice address
4035 NE Sandy Blvd
248
Portland, OR 97212-5331
Phone
(503) 432-3322
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00685 OR Primary

Addresses

Primary practice location

4035 NE Sandy Blvd
248
Portland, OR 97212-5331

Mailing address

4904 NE 32ND Ave
Portland, OR 97211-7024

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
AC00685ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1912125287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 NE 32ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972117024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 NE SANDY BLVD",
            "address_2": "248",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125331",
            "telephone_number": "503-432-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIN",
        "first_name": "JOHANNA",
        "credential": "LAC,LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00685",
            "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 Nov 30, 2015; 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.