Individual provider Active NPI

Judine Lynn Farley, RN, LAC, MSTCM

  • Acupuncturist
  • Golden, CO
National Provider Identifier
1316002108
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
CO#775 Issued in CO
Practice address
1019 8TH Street
Suite 101
Golden, CO 80401
Phone
(720) 201-0658
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 88543 CO
Acupuncturist 171100000X 775 CO
Acupuncturist 171100000X CO#775 CO Primary

Addresses

Primary practice location

1019 8TH Street
Suite 101
Golden, CO 80401

Mailing address

6223 Kilmer Loop
#203
Arvada, CO 80403
Phone (720) 201-0658

Other identifiers 1

IdentifierTypeStateIssuer
1316002108OtherCOLAC

Other names 1

  • Judine Lynn Farley 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
88543COMDRegistered Nurse
775COMDAcupuncturist
CO#775COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Anam Cara Acupuncture & Herbal Therapy LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1316002108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 KILMER LOOP",
            "address_2": "#203",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80403",
            "telephone_number": "720-201-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 8TH STREET",
            "address_2": "SUITE 101",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "720-201-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "JUDINE",
        "middle_name": "LYNN",
        "credential": "RN, LAC, MSTCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "88543",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "775",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "CO#775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAC",
            "identifier": "1316002108",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDINE",
            "last_name": "FARLEY",
            "middle_name": "LYNN",
            "credential": "RN, LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.