Two Roots Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

TWO ROOTS ACUPUNCTURE, LLC

Practice address

518 Harrison Ave
Leadville, CO 80461-3558

Phone

(719) 239-1452

NPI assigned

Jan 15, 2019

Last updated

Jan 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Allen, LACNPI 1033683743

Title

Owner, Licensed Acupuncturist

Phone

(719) 239-1452

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jacqueline Allen, LAC

  • Acupuncturist
  • Leadville, CO
  • NPI 1033683743
  NPD (past) Authorized official

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1114491826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 HARRISON AVE",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613558",
            "telephone_number": "719-239-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 HARRISON AVE",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613558",
            "telephone_number": "719-239-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO ROOTS ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER, LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "719-239-1452",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Leadville, CO
• Providers in Leadville, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.