NPIMap

Organization Active NPI

Good Life Acupuncture & Wellness Center

  • Clinic/Center
  • Longmont, CO
National Provider Identifier
1003245861
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1684 Issued in CO
Legal business name
GOOD LIFE ACUPUNCTURE & WELLNESS CENTER
Practice address
275 S Main St
Ste 206
Longmont, CO 80501
Phone
(303) 772-0598
Fax
(720) 302-0443
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Stacey Donelson, DACMNPI 1508290560
Title
Owner
Phone
(303) 772-0598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1684 CO Primary

Addresses

Primary practice location

275 S Main St
Ste 206
Longmont, CO 80501

Mailing address

275 S Main St
Ste 206
Longmont, CO 80501
Phone (303) 772-0598

National Provider Directory

National Provider Directory

Locations

1225 Ken Pratt Blvd
Unit 120
Longmont, CO 80501
Phone (720) 513-1233

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1003245861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "address_2": "STE 206",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "303-772-0598",
            "fax_number": "720-302-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "address_2": "STE 206",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "303-772-0598",
            "fax_number": "720-302-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE ACUPUNCTURE & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2024-06-25",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "DONELSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-772-0598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.