Gina Marie Mortellaro, L.AC, C.H. DIPL. OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1371 Issued in CO

Practice address

7114 W Jefferson Ave
Suite 208
Lakewood, CO 80235-2354

Phone

(303) 997-9414

Fax

(303) 593-4651

NPI assigned

May 18, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1275768475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 W JEFFERSON AVE STE 208",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352356",
            "telephone_number": "303-997-9414",
            "fax_number": "303-593-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 W JEFFERSON AVE",
            "address_2": "SUITE 208",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352354",
            "telephone_number": "303-997-9414",
            "fax_number": "303-593-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTELLARO",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "L.AC, C.H. DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick J Morris, OD
• Stephen Philip Morrison, OTR/L
• Lee Ann Morse
• Abigail Kern Morsicato, BCBA
• Bre Mortell
• Bennett Dean Mortenson, D.M.D.
• Megan Elizabeth Mosele
• Mary Todd Moseley, AUD
• James C Mosher, MD
• Sara N/a Moslehi

• Acupuncturist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.