Active NPI
Michele Kaitlin Rodriguez, MSOM, LAC, LMT
- Acupuncturist
- Boulder, CO
National Provider Identifier
1154929636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0002269
- Practice address
- 2690 Valmont Rd Apt 2
Boulder, CO 80304-2951 - Phone
- (720) 560-1401
- NPI assigned
- Oct 15, 2020
- 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 | 0002269 | CO | Primary |
Addresses
Primary practice location
2690 Valmont Rd Apt 2
Boulder, CO 80304-2951
Mailing address
2690 Valmont Rd Apt 2
Boulder, CO 80304-2951
Phone (720) 560-1401
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 |
|---|---|---|---|
| 0002269 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1154929636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 VALMONT RD APT 2",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042951",
"telephone_number": "720-560-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 VALMONT RD APT 2",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042951",
"telephone_number": "720-560-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MICHELE",
"middle_name": "KAITLIN",
"credential": "MSOM, LAC, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "0002269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.