Katherine Kelly Dittmann, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1856 Issued in CO

Practice address

3080 Valmont Rd Ste 244
Boulder, CO 80301-2152

Phone

(720) 470-3908

NPI assigned

Jul 11, 2013

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Laine Gallegos Acupuncture

  • Acupuncturist
  • Boulder, CO
  • NPI 1043753601
  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1093156697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1756",
            "city": "LYONS",
            "state": "CO",
            "postal_code": "805401756",
            "telephone_number": "720-470-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 VALMONT RD STE 244",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012152",
            "telephone_number": "720-470-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTMANN",
        "first_name": "KATHERINE",
        "middle_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Dionne, MA, CCC-SLP
• Clifford Edward Dirgo
• Zoe Anne Disler
• Lindsay Disney
• Nancy J Distler, A.P.
• Trisha Dittrick, LPC
• Alice Ditullio, CO LPC
• Divergent Paths Counseling PLLC (Divergent Paths Counseling)
• Cynthia L Divino, PH.D.
• Divinocounselingassociates

• Acupuncturist in Boulder, CO
• Providers in Boulder, CO by specialty
• Acupuncturist in Colorado

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

Verify at the official NPI Registry.