Individual provider Active NPI

Edith Newall, LAC

  • Acupuncturist
  • Lone Tree, CO
National Provider Identifier
1104272053
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0001885 Issued in CO
Practice address
9777 S Yosemite St
Suite 110
Lone Tree, CO 80124-3191
Phone
(720) 560-3083
Fax
(877) 613-8702
NPI assigned
May 10, 2016
Last updated
May 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0001885 CO Primary

Addresses

Primary practice location

9777 S Yosemite St
Suite 110
Lone Tree, CO 80124-3191

Mailing address

9777 S Yosemite St
Suite 110
Lone Tree, CO 80124-3191
Phone (720) 560-3083

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

LicenseStateTypeSpecialty
0001885COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1104272053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST",
            "address_2": "SUITE 110",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243191",
            "telephone_number": "720-560-3083",
            "fax_number": "877-613-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST",
            "address_2": "SUITE 110",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243191",
            "telephone_number": "720-560-3083",
            "fax_number": "877-613-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWALL",
        "first_name": "EDITH",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0001885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.