Active NPI
Amy Rose Gendron, L.AC.
- Acupuncturist
- Aspen, CO
National Provider Identifier
1346675261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU.0002179
- Practice address
- 225 N Mill St
Unit 114
Aspen, CO 81611-1559 - Phone
- (970) 236-6476
- NPI assigned
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU.0002179 | CO | Primary |
Addresses
Primary practice location
225 N Mill St
Unit 114
Aspen, CO 81611-1559
Mailing address
225 N Mill St
Unit #114
Aspen, CO 81611-1559
Phone (970) 236-6476
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACU.0002179 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1346675261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 N MILL ST",
"address_2": "UNIT #114",
"city": "ASPEN",
"state": "CO",
"postal_code": "816111559",
"telephone_number": "970-236-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N MILL ST",
"address_2": "UNIT 114",
"city": "ASPEN",
"state": "CO",
"postal_code": "816111559",
"telephone_number": "970-236-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDRON",
"first_name": "AMY",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "ACU.0002179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aspen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.