Individual provider Active NPI

Hayley Simon, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1962865485
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC196866 Issued in OR
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

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC196866ORMDAcupuncturist
21636ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Craft Wellness LLC Acupuncturist CurrentSince May 1, 2022 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.

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.

Verify at the official NPI Registry.