Individual provider Active NPI

Lee Ann Brentlinger, L.AC., DIPL.AC, LMT

  • Acupuncturist
  • Northglenn, CO
National Provider Identifier
1275861213
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1649 Issued in CO
Practice address
10465 Melody Dr
Meridian Therapy Studio, LLC - Suite 203
Northglenn, CO 80234-4119
Phone
(303) 847-5250
Fax
(720) 484-5870
NPI assigned
Dec 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1649 CO Primary
Massage Therapist 225700000X MT0011263 CO

Addresses

Primary practice location

10465 Melody Dr
Meridian Therapy Studio, LLC - Suite 203
Northglenn, CO 80234-4119

Mailing address

10465 Melody Dr
Meridian Therapy Studio, LLC - Suite 203
Northglenn, CO 80234-4119
Phone (303) 847-5250

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

LicenseStateTypeSpecialty
1649COMDMental Health Counselor
MT0011263COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1275861213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 MELODY DR",
            "address_2": "MERIDIAN THERAPY STUDIO, LLC - SUITE 203",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344119",
            "telephone_number": "303-847-5250",
            "fax_number": "720-484-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 MELODY DR",
            "address_2": "MERIDIAN THERAPY STUDIO, LLC - SUITE 203",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344119",
            "telephone_number": "303-847-5250",
            "fax_number": "720-484-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENTLINGER",
        "first_name": "LEE ANN",
        "credential": "L.AC., DIPL.AC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1649",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT0011263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.