Individual provider Active NPI

Amy Malone, LAC, RN, DIPLOM

  • Acupuncturist
  • Lakewood, CO
National Provider Identifier
1376077016
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0002290 Issued in CO
Practice address
405 Urban St Ste 360
Lakewood, CO 80228-1205
Phone
(720) 593-0423
NPI assigned
Apr 19, 2017
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1621441 CO
Acupuncturist 171100000X ACU.0002290 CO Primary

Addresses

Primary practice location

405 Urban St Ste 360
Lakewood, CO 80228-1205

Mailing address

3845 Tennyson St # 166
Denver, CO 80212-2107
Phone (585) 747-5707

Other practice location 1

7625 W 5th Ave Ste 218D
Lakewood, CO 80226-1453
Phone (720) 593-0423

Other practice location 2

7625 W 5th Ave Ste 103D
Lakewood, CO 80226-1416
Phone (720) 593-0423

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.1621441COMDRegistered Nurse
ACU.0002290COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy's Holistic Health LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

3845 Tennyson St
#166
Denver, CO 80212

405 Urban St
Ste 360
Lakewood, CO 80228
Phone (720) 328-2911

7625 W 5th Ave
Ste 103D
Lakewood, CO 80226
Phone (720) 593-0423

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, 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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1376077016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 TENNYSON ST # 166",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122107",
            "telephone_number": "585-747-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 URBAN ST STE 360",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281205",
            "telephone_number": "720-593-0423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7625 W 5th Ave Ste 218D",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802261453",
            "country_code": "US",
            "telephone_number": "720-593-0423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7625 W 5th Ave Ste 103D",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802261416",
            "country_code": "US",
            "telephone_number": "720-593-0423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "AMY",
        "credential": "LAC, RN, DIPLOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1621441",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.