Heather Inge Ellsworth, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

3031 S. Russell St. Ste 1
Missoula, MT 59801

Phone

(406) 728-1600

Fax

(406) 327-6702

NPI assigned

Jan 13, 2010

Last updated

Oct 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Inge Hulbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Mountain Sage Acupuncture PLLC

  • Acupuncturist
  • Missoula, MT
  • NPI 1720686736
  NPD Authorized official
• Acupuncture Clinic of Missoula Inc.

  • Acupuncturist
  • Missoula, MT
  • NPI 1982723060
  NPD (past)
• Missoula Acupuncture, Inc

  • Acupuncturist
  • Missoula, MT
  • NPI 1720459456
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1245560218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9153",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598079153",
            "telephone_number": "406-531-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 S. RUSSELL ST. STE 1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-728-1600",
            "fax_number": "406-327-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "HEATHER",
        "middle_name": "INGE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HULBERT",
            "middle_name": "INGE",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Urschel, LCSW, LLC
• Elkhorn Professional Services
• Ellen S Dewolfe MSN P.C.
• Mark William Elliott, M.D.
• William Otto Elliott, DDS
• Scott Eugen Elrod, M.D.
• Heidi S.M. Elwood, LCSW
• Embodied Wild Integrative Counseling
• Emeritus Corporation (Brookdale Missoula Valley)
• Michael Emery, LMT

• Acupuncturist in Missoula, MT
• Providers in Missoula, MT by specialty
• Acupuncturist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.