Active NPI
Amy Lynn Dickinson, L.AC.
- Acupuncturist
- Boulder, CO
National Provider Identifier
1154462398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU 950
- Practice address
- 4764 McKinley Dr
Boulder
Boulder, CO 80303-1125 - Phone
- (720) 470-7079
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 | ACU 950 | CO | Primary |
Addresses
Primary practice location
4764 McKinley Dr
Boulder
Boulder, CO 80303-1125
Mailing address
4764 McKinley Dr
Boulder
Boulder, CO 80303-1125
Phone (720) 470-7079
Other practice location 1
11245 Huron St
Westminster, CO 80234-2806
Phone (303) 338-4545
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| ACU 950 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1154462398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4764 MCKINLEY DR",
"address_2": "BOULDER",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031125",
"telephone_number": "720-470-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4764 MCKINLEY DR",
"address_2": "BOULDER",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031125",
"telephone_number": "720-470-7079"
}
],
"practiceLocations": [
{
"address_1": "11245 Huron St",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "802342806",
"country_code": "US",
"telephone_number": "303-338-4545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKINSON",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "ACU 950",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "CAREQUALITY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "11245 Huron St",
"city": "Westminster",
"state": "CO",
"country_code": "US",
"postal_code": "802342806",
"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 Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.