Individual provider Active NPI

Christina Fick, L.AC.

  • Acupuncturist
  • Evergreen, CO
National Provider Identifier
1356780217
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1727 Issued in CO
Practice address
28267 Highway 74
Evergreen, CO 80439-7553
Phone
(303) 594-8348
NPI assigned
Jun 24, 2013
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1727 CO Primary

Addresses

Primary practice location

28267 Highway 74
Evergreen, CO 80439-7553

Mailing address

28267 Highway 74
Evergreen, CO 80439-7553
Phone (303) 594-8348

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
1727COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Acupuncture Billing LLC Acupuncturist Current Accepting new patients
Evergreen Medical Acupuncture LLC Acupuncturist CurrentSince Oct 25, 2020 Accepting new patients

Locations

30480 Stagecoach Blvd
Evergreen, CO 80439
Phone (303) 594-8348

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1356780217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28267 HIGHWAY 74",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397553",
            "telephone_number": "303-594-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28267 HIGHWAY 74",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397553",
            "telephone_number": "303-594-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICK",
        "first_name": "CHRISTINA",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.