Lyndsey Renee Cordova, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU.0002798 Issued in CO

Practice address

620 Kimbark St
Longmont, CO 80501-4911

Phone

(303) 834-8376

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Koena LLC

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1295413417
  NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1346939964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 KIMBARK ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014911",
            "telephone_number": "303-834-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 KIMBARK ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014911",
            "telephone_number": "303-834-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "LYNDSEY",
        "middle_name": "RENEE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": "ST.0002173",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Cooney-Polstra, LCSW
• William P Cooney, MD
• Paul L. Cooper, M.D.
• Myles Nathaniel Cope, M.D.
• Megan Theresa Corcoran, LPCC
• Christine E Cork, PA-C CAQ PSYCH
• Eve Cornell, MD, DDS
• Cornerstone Caregiving West LLC
• Brian Cortez
• Costco Wholesale Corporation

• Acupuncturist in Longmont, CO
• Providers in Longmont, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.