Organization Active NPI

Five Petals Health LLC

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1114241148
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1380 Issued in CO
Legal business name
FIVE PETALS HEALTH LLC
Practice address
948 North St Ste 3
Boulder, CO 80304-3385
Phone
(720) 280-9970
NPI assigned
Mar 19, 2010
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Jennifer Carroll, L.AC
Title
Ower/Operator
Phone
(720) 280-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1380 CO Primary

Addresses

Primary practice location

948 North St Ste 3
Boulder, CO 80304-3385

Mailing address

948 North St Ste 3
Boulder, CO 80304-3385
Phone (720) 280-9970

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.FivePetalsHealth.com

National Provider Directory

National Provider Directory

Locations

2600 30th St
Ste 200
Boulder, CO 80301
Phone (303) 402-0932

948 North St
Ste 3
Boulder, CO 80304
Phone (303) 444-8531

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1114241148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 NORTH ST STE 3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043385",
            "telephone_number": "720-280-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 NORTH ST STE 3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043385",
            "telephone_number": "720-280-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE PETALS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWER/OPERATOR",
        "authorized_official_telephone_number": "720-280-9970",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.FivePetalsHealth.com",
            "affiliation": "N",
            "address_1": "948 North St Ste 3",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803043385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 31, 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.