Nicholas Guy Wismann, LAC, LMP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU 1492 Issued in CO

Practice address

6881 S Holly Cir
207
Centennial, CO 80112-1145

Phone

(303) 301-4185

NPI assigned

Aug 16, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1104058742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 BUCKNELL DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801294397",
            "telephone_number": "303-301-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 S HOLLY CIR",
            "address_2": "207",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121145",
            "telephone_number": "303-301-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISMANN",
        "first_name": "NICHOLAS",
        "middle_name": "GUY",
        "credential": "LAC, LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-16",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60099399",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023357",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU 1492",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT-4817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn C Winterbottom
• Joshua Paul Wintje, MD
• Wise Psychiatry, PC
• Brian Keith Wise, MD
• Patricia Lynn Wismann-Horther, M.A.
• Natalie Elaine Wittstruck, MA, MFTC
• Elizabeth Cathleen Wolf, LCSW
• Katherine Keegan Wolf, LCSW
• Jessica Wolfe, DPT
• Rebecca Selene Wolfe, RN, BSN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.