Ancient Roots Acupuncture and Herbal Medicine
NPI 1700523040ActiveOrganization· Acupuncturist· Providence, RI
Acupuncturist in Providence, Rhode Island, registered in NPPES in May 2022. The authorized official on file is Tamra Portalla, DAOM, Acupuncturist.
Overview
| NPI | 1700523040 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2022 |
| Last updated in NPPES | May 18, 2022 |
| Certified by provider | May 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Acupuncturist Primary | 171100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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