Individual provider Active NPI

Jennifer Lei Bao, L.AC.

  • Acupuncturist
  • Loveland, CO
National Provider Identifier
1326349853
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1619 Issued in CO
Practice address
2114 N Lincoln Ave
Suite 104
Loveland, CO 80538-3859
Phone
(970) 599-1027
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1619 CO Primary

Addresses

Primary practice location

2114 N Lincoln Ave
Suite 104
Loveland, CO 80538-3859

Mailing address

804 Tyler St
Fort Collins, CO 80521-3126
Phone (970) 599-1027

Other identifiers 2

IdentifierTypeStateIssuer
1619OtherCODORA
126085OtherNCCAOM

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
1619COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Loveland Acupuncture Acupuncturist Past Accepting new patients
Fort Collins Gonstead Chiropractic Past Accepting new patients

Organizations & group practices 2

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": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1326349853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 TYLER ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213126",
            "telephone_number": "970-599-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE",
            "address_2": "SUITE 104",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383859",
            "telephone_number": "970-599-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAO",
        "first_name": "JENNIFER",
        "middle_name": "LEI",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "1619",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM",
            "identifier": "126085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.