Individual provider Active NPI

Colleen Teska, L.AC., DACOM

  • Acupuncturist
  • Eagle, CO
National Provider Identifier
1336672153
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0002504 Issued in CO
Practice address
960 Chambers Ave Ste 202
Eagle, CO 81631-6573
Phone
(262) 208-4776
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 962-55 WI
Acupuncturist 171100000X AC TX
Acupuncturist 171100000X ACU.0002504 CO Primary

Addresses

Primary practice location

960 Chambers Ave Ste 202
Eagle, CO 81631-6573

Mailing address

PO Box 943
Gypsum, CO 81637-0943
Phone (262) 208-4776

Other practice location 1

1013 Ann St Ste B
Delavan, WI 53115-1937
Phone (262) 208-4776

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
ACU.0002504COMDAcupuncturist
ACTXMDAcupuncturist
962-55WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Si Shou Acupuncture and Wellness, PLLC Acupuncturist PastSince Jul 12, 2020 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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1336672153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 943",
            "city": "GYPSUM",
            "state": "CO",
            "postal_code": "816370943",
            "telephone_number": "262-208-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CHAMBERS AVE STE 202",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816316573",
            "telephone_number": "262-208-4776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Ann St Ste B",
            "address_purpose": "LOCATION",
            "city": "Delavan",
            "state": "WI",
            "postal_code": "531151937",
            "country_code": "US",
            "telephone_number": "262-208-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESKA",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "L.AC., DACOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "962-55",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.