Active NPI
Hayley Simon, L.AC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1962865485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC196866
- Practice address
- 1135 SE Salmon St Ste 108
Portland, OR 97214-2695 - Phone
- (949) 637-7468
- NPI assigned
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 21636 | OR | |
| Acupuncturist | 171100000X | AC196866 | OR | Primary |
Addresses
Primary practice location
1135 SE Salmon St Ste 108
Portland, OR 97214-2695
Mailing address
6618 SE Mitchell CT
Portland, OR 97206-5332
Phone (949) 637-7468
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 |
|---|---|---|---|
| AC196866 | OR | MD | Acupuncturist |
| 21636 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Craft Wellness LLC | Acupuncturist | Current | Accepting new patients |
Locations
1135 SE Salmon St
Ste 108
Portland, OR 97214
Phone (503) 349-6221
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Portland, OR
- NPI 1922744705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1962865485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6618 SE MITCHELL CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972065332",
"telephone_number": "949-637-7468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 SE SALMON ST STE 108",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142695",
"telephone_number": "949-637-7468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "HAYLEY",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "21636",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC196866",
"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 Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.