Heart Source Acupuncture, Energy and Wellness

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1697 Issued in CO

Legal business name

HEART SOURCE ACUPUNCTURE, ENERGY AND WELLNESS

Doing business as

Heart Source Wellness

Practice address

6595 S Dayton St
Suite 1600
Greenwood Village, CO 80111-6128

Phone

(303) 929-3221

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Stacey Rae Hughes, LAC

Title

Licensed Acupuncturist

Phone

(303) 929-3221

Specialties & licenses 1

Addresses

Other names 1

• Heart Source Wellness Doing business as

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1366816209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6775 S IVY ST APT A2",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121099",
            "telephone_number": "303-929-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 S DAYTON ST",
            "address_2": "SUITE 1600",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116128",
            "telephone_number": "303-929-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SOURCE ACUPUNCTURE, ENERGY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "303-929-3221",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Source Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.