Individual provider Active NPI

Amber Creasey, L.AC.

  • Acupuncturist
  • Broomfield, CO
National Provider Identifier
1134549314
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1244 Issued in CO
Practice address
3751 W 136TH Ave
T2
Broomfield, CO 80023-5532
Phone
(970) 690-8040
NPI assigned
Apr 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1244 CO Primary

Addresses

Primary practice location

3751 W 136TH Ave
T2
Broomfield, CO 80023-5532

Mailing address

3751 W 136TH Ave
T2
Broomfield, CO 80023-5532

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

LicenseStateTypeSpecialty
1244COMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1134549314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 W 136TH AVE",
            "address_2": "T2",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800235532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 W 136TH AVE",
            "address_2": "T2",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800235532",
            "telephone_number": "970-690-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREASEY",
        "first_name": "AMBER",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.