Individual provider Active NPI

Jennifer Sylvia, LAC, LMT

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1932647310
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC217021 Issued in OR
Practice address
6118 SE Belmont St Ste 402
Portland, OR 97215-1983
Phone
(503) 724-1267
NPI assigned
Feb 7, 2017
Last updated
Feb 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC217021 OR Primary
Massage Therapist 225700000X 23033 OR

Addresses

Primary practice location

6118 SE Belmont St Ste 402
Portland, OR 97215-1983

Mailing address

6815 SE Clatsop St
Portland, OR 97206-8710
Phone (503) 724-1267

Other practice location 1

1611 SE Bybee Blvd
Portland, OR 97202-5752
Phone (503) 724-1267

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
AC217021ORMDAcupuncturist
23033ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1932647310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 SE CLATSOP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972068710",
            "telephone_number": "503-724-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 SE BELMONT ST STE 402",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151983",
            "telephone_number": "503-724-1267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 SE Bybee Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972025752",
            "country_code": "US",
            "telephone_number": "503-724-1267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYLVIA",
        "first_name": "JENNIFER",
        "credential": "LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC217021",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "23033",
            "primary": false
        }
    ],
    "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 Feb 4, 2024; 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.