NPIMap

Organization Active NPI

Boulder Family Acupuncture LLC

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1104568443
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BOULDER FAMILY ACUPUNCTURE LLC
Practice address
2955 Valmont Rd Ste 100
Boulder, CO 80301-1360
Phone
(303) 859-7556
Fax
(720) 306-5466
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Monica Edlauer, LAC, RNNPI 1508192527
Title
Ownder
Phone
(303) 859-7556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

2955 Valmont Rd Ste 100
Boulder, CO 80301-1360

Mailing address

2955 Valmont Rd Ste 100
Boulder, CO 80301-1360
Phone (303) 859-7556

Other identifiers 2

IdentifierTypeStateIssuer
1780125682OtherGANPPES
1508192527OtherCONPPES

Other names 1

  • Boulder Family Acupuncture LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address boulderacupuncture@comcast.net Direct

National Provider Directory

National Provider Directory

Locations

2955 Valmont Rd
Ste 100
Boulder, CO 80301
Phone (303) 859-7556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1104568443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 VALMONT RD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011360",
            "telephone_number": "303-859-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VALMONT RD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011360",
            "telephone_number": "303-859-7556",
            "fax_number": "720-306-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER FAMILY ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "EDLAUER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "303-859-7556",
        "authorized_official_credential": "LAC, RN"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1780125682",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1508192527",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boulderacupuncture@comcast.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "2955 Valmont Rd Ste 100",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803011360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boulder Family Acupuncture LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.