Individual provider Active NPI

Elise Madeline Baron, LAC

  • Acupuncturist
  • Tigard, OR
National Provider Identifier
1992513006
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC223579 Issued in OR
Practice address
7405 SW Beveland Rd
Tigard, OR 97223-8610
Phone
(503) 746-6095
Fax
(503) 746-6405
NPI assigned
Dec 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC223579 OR Primary

Addresses

Primary practice location

7405 SW Beveland Rd
Tigard, OR 97223-8610

Mailing address

7405 SW Beveland Rd
Tigard, OR 97223-8610
Phone (503) 746-6095

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
AC223579ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Chiropractic Wellness CurrentSince Dec 22, 2024 Accepting new patients
Pura Vida Acupuncture Acupuncturist Past Accepting new patients

Locations

7405 SW Beveland Rd
Tigard, OR 97223
Phone (503) 746-6095

Organizations & group practices 2

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": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1992513006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 SW BEVELAND RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238610",
            "telephone_number": "503-746-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 SW BEVELAND RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238610",
            "telephone_number": "503-746-6095",
            "fax_number": "503-746-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "ELISE",
        "middle_name": "MADELINE",
        "name_prefix": "Dr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC223579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.