Millennium Wellness, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1293 Issued in CO

Legal business name

MILLENNIUM WELLNESS, LLC

Practice address

190 N Grand Mesa Dr
Cedaredge, CO 81413-8388

Phone

(970) 856-4729

Fax

(970) 856-4734

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristie M. Lavalley, L.AC.NPI 1760637508

Title

Acupuncturist

Phone

(970) 856-4729

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristie M Lavalley, L.AC.

  • Acupuncturist
  • Cedaredge, CO
  • NPI 1760637508
  NPD (past) Authorized official

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1083949358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N GRAND MESA DR",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814138388",
            "telephone_number": "970-856-4729",
            "fax_number": "970-856-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N GRAND MESA DR",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814138388",
            "telephone_number": "970-856-4729",
            "fax_number": "970-856-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "LAVALLEY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "970-856-4729",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "1293",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1760637508",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Kinney, LCSW
• Kristie M Lavalley, L.AC.
• Candi R. Lobenstein, NP
• Timothy C Meilner, MD
• Millennium Regenerative Medicine, Inc.
• Resa Moran
• Nanci Jane Nicholas
• Stephanie Lynn Nickel, LPC
• Joyce Annette Olson, LMT
• Eric Anthony Peper, MD

• Health Service Clinic/Center in Cedaredge, CO
• Providers in Cedaredge, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.