Individual provider Active NPI

Kyla Rachel Bates, LA.C. DIPLO.OM

  • Acupuncturist
  • Lone Tree, CO
National Provider Identifier
1215216320
Registry record updated Aug 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1693 Issued in CO
Practice address
9075 Forsstrom Dr
Lonetree, CO 80124-6737
Phone
(303) 470-1995
NPI assigned
Aug 7, 2011
Last updated
Aug 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1693 CO Primary

Addresses

Primary practice location

9075 Forsstrom Dr
Lonetree, CO 80124-6737

Mailing address

1190 Birch St
308
Denver, CO 80220-6214
Phone (720) 401-0346

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

NPI Registry JSON

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

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312675200000",
    "number": "1215216320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BIRCH ST",
            "address_2": "308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802206214",
            "telephone_number": "720-401-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 FORSSTROM DR",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801246737",
            "telephone_number": "303-470-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KYLA",
        "middle_name": "RACHEL",
        "credential": "LA.C. DIPLO.OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-07",
        "last_updated": "2011-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2011; 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.