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
- Last updated
- Sep 22, 2021
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.