Active NPI
Jamisun Sky Van Horn, LAC, LMT, NCBTMB
- Acupuncturist
- Boulder, CO
National Provider Identifier
1184956047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0002084
- Practice address
- 5603 Arapahoe Ave Ste 5
Boulder, CO 80303-1377 - Phone
- (720) 989-1513
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4550 | CO | |
| Acupuncturist | 171100000X | 0002084 | CO | Primary |
Addresses
Primary practice location
5603 Arapahoe Ave Ste 5
Boulder, CO 80303-1377
Mailing address
1455 Alpine Ave
Boulder, CO 80304-3505
Phone (303) 919-2498
Other practice location 1
1455 Alpine Ave
Boulder, CO 80304-3505
Phone (720) 989-1513
Other practice location 2
2321 30th St
Boulder, CO 80301-1103
Phone (303) 440-3998
Other names 1
- Dr. Sky Van Horn
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 |
|---|---|---|---|
| 0002084 | CO | MD | Acupuncturist |
| 4550 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raining Sun Inc. | Acupuncturist | Past | Accepting new patients |
| Raining Sun Inc. | Acupuncturist | Past | Accepting new patients |
| Mills Massage, LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Elements Therapeutic Massage Boulder
- Massage Therapist
- Boulder, CO
- NPI 1396077251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184956047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 ALPINE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043505",
"telephone_number": "303-919-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5603 ARAPAHOE AVE STE 5",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031377",
"telephone_number": "720-989-1513"
}
],
"practiceLocations": [
{
"address_1": "1455 Alpine Ave",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803043505",
"country_code": "US",
"telephone_number": "720-989-1513",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2321 30th St",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803011103",
"country_code": "US",
"telephone_number": "303-440-3998",
"fax_number": "303-440-8363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN HORN",
"first_name": "JAMISUN",
"middle_name": "SKY",
"credential": "LAC, LMT, NCBTMB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "4550",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "0002084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SKY",
"last_name": "VAN HORN",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.