Active NPI
Tracey Pamela Sobel, DIPL.O.M., L.AC.
- Acupuncturist
- Boulder, CO
National Provider Identifier
1114184835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2516
- Practice address
- 2516 Broadway St
Boulder, CO 80304-4111 - Phone
- (303) 859-1889
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2516 | CO | Primary |
Addresses
Primary practice location
2516 Broadway St
Boulder, CO 80304-4111
Mailing address
2516 Broadway St
Boulder, CO 80304-4111
Phone (303) 859-1889
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2516 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1114184835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 BROADWAY ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044111",
"telephone_number": "303-859-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 BROADWAY ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044111",
"telephone_number": "303-859-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBEL",
"first_name": "TRACEY",
"middle_name": "PAMELA",
"name_prefix": "Miss",
"credential": "DIPL.O.M., L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "2516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.