Individual provider Active NPI

Melissa Roberts, L. AC.

  • Acupuncturist
  • Estes Park, CO
National Provider Identifier
1295855427
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
746 Issued in CO
Practice address
351 Moraine Ave
Suite C
Estes Park, CO 80517-8055
Phone
(970) 577-9725
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 746 CO Primary

Addresses

Primary practice location

351 Moraine Ave
Suite C
Estes Park, CO 80517-8055

Mailing address

351 Moraine Ave
Suite C
Estes Park, CO 80517-8055
Phone (970) 577-9725

Other names 1

  • Melissa Roberts Professional name

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
746COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1295855427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MORAINE AVE",
            "address_2": "SUITE C",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178055",
            "telephone_number": "970-577-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MORAINE AVE",
            "address_2": "SUITE C",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178055",
            "telephone_number": "970-577-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ROBERTS",
            "credential": "L. AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Estes Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.