Johannah Reilly, ND, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

120 Issued in CO

Practice address

2760 29TH St
Suite 2E
Boulder, CO 80301-1214

Phone

(303) 541-9600

Fax

(303) 938-9402

NPI assigned

Jan 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Natural Resources Integrated Healthcare, LLC

  • Acupuncturist
  • Boulder, CO
  • NPI 1952562506
  NPD (past)

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1144551656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 29TH ST",
            "address_2": "SUITE 2E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011214",
            "telephone_number": "303-541-9600",
            "fax_number": "303-938-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 29TH ST",
            "address_2": "SUITE 2E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011214",
            "telephone_number": "303-541-9600",
            "fax_number": "303-938-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JOHANNAH",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "120",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MT",
            "license": "30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Registered Physical Therapy Associates, PC (RPT Associates, PC)
• Cassandra Lynn Reich, PHYSICAL THERAPIST
• Kevin Francis Reichlin, D.C.
• Sara Reid
• Amy Carol Reidhead, DC, FNP-C, BSN-RN
• Elise Catherine Reinhard, M.D.
• Marika Reisberg
• Alex G Reish, DO
• Releaf Therapy, LLC
• Reliant Psychiatric Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.