East West Women'S Health Center, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1972 Issued in CO

Legal business name

EAST WEST WOMEN'S HEALTH CENTER, LLC

Practice address

2800 Folsom St
Suite C @ the Birth Center of Boulder
Boulder, CO 80304-3738

Phone

(575) 495-2475

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Deborahlise Mota, LAC

Title

Licensed Acupuncturist

Phone

(575) 495-2475

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3194/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1104297589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 FOLSOM ST",
            "address_2": "SUITE C @ THE BIRTH CENTER OF BOULDER",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FOLSOM ST",
            "address_2": "SUITE C @ THE BIRTH CENTER OF BOULDER",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043738",
            "telephone_number": "575-495-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST WOMEN'S HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "MOTA",
        "authorized_official_first_name": "DEBORAHLISE",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "575-495-2475",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 12, 2015; 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.