NPIMap

Organization Active NPI

Bridgit Beasley PC

Doing business as Blue Sky Wellness Studio

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1952568214
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC000793 Issued in OR
Legal business name
BRIDGIT BEASLEY PC
Doing business as
Blue Sky Wellness Studio
Practice address
3944 N Mississippi Ave
Portland, OR 97227-1163
Phone
(503) 517-8222
Fax
(503) 517-8223
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Ms. Bridgit Beasley, LAC
Title
President
Phone
(503) 517-8222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC000793 OR Primary
Massage Therapist 225700000X AC000793 OR

Addresses

Primary practice location

3944 N Mississippi Ave
Portland, OR 97227-1163

Mailing address

3944 N Mississippi Ave
Portland, OR 97227-1163
Phone (503) 517-8222

Other names 1

  • Blue Sky Wellness Studio Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Sky Wellness Studio2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1952568214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 N MISSISSIPPI AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271163",
            "telephone_number": "503-517-8222",
            "fax_number": "503-517-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 N MISSISSIPPI AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271163",
            "telephone_number": "503-517-8222",
            "fax_number": "503-517-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGIT BEASLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "BRIDGIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-517-8222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC000793",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "AC000793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sky Wellness Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 22, 2008; 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.