Active NPI
Tami L. Clark, DACM, DNM
- Acupuncturist
- Breckenridge, CO
National Provider Identifier
1003362625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU.0002195
- Practice address
- 101 N Main St
Unit 12
Breckenridge, CO 80424 - Phone
- (970) 485-9811
- NPI assigned
- Sep 1, 2016
- Last updated
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU.0002195 | CO | Primary |
Addresses
Primary practice location
101 N Main St
Unit 12
Breckenridge, CO 80424
Mailing address
PO Box 4185
Frisco, CO 80443-4185
Phone (970) 485-9811
Other practice location 1
507 E Main St.
Frisco, CO 80443-4185
Phone (970) 485-9811
Other practice location 2
35 W Main St Unit 4185
Frisco, CO 80443-6759
Phone (970) 485-9811
Other practice location 3
340 Peak One Dr
Frisco, CO 80443
Phone (970) 485-9811
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 |
|---|---|---|---|
| ACU.0002195 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Acupuncture & Natrual Medicine | Acupuncturist | Current | Accepting new patients |
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": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1003362625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4185",
"city": "FRISCO",
"state": "CO",
"postal_code": "804434185",
"telephone_number": "970-485-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N MAIN ST",
"address_2": "UNIT 12",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "80424",
"telephone_number": "970-485-9811"
}
],
"practiceLocations": [
{
"address_1": "507 E Main St.",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "CO",
"postal_code": "804434185",
"country_code": "US",
"telephone_number": "970-485-9811",
"fax_number": "970-668-1310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 W Main St Unit 4185",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "CO",
"postal_code": "804436759",
"country_code": "US",
"telephone_number": "970-485-9811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 Peak One Dr",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "CO",
"postal_code": "80443",
"country_code": "US",
"telephone_number": "970-485-9811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "TAMI",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "DACM, DNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2022-05-11",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "ACU.0002195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Breckenridge, CO
- Catholic Health Initiatives Colorado (PRBC PC Breckenridge)
- Catholic Health Initiatives Colorado (Breckenridge Emergency and Urgent Care Center)
- Catholic Health Initiatives Colorado
- Andrew Clark Catron, M.D.
- Jennifer P Clark, PA-C
- Cassie V Comeau, PH.D.
- Samantha Conroy, D.D.S.
- Carol Akers Cox, MD
- Sarah Creech
- Lauren Crispell, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.