Active NPI
Anita Alexandra, L.A.C.- LICENSED ACU
- Acupuncturist
- Grand Junction, CO
National Provider Identifier
1407376973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU.0000483
- Practice address
- 751 Horizon CT. Suite 202
Grand Junction, CO 81506-8718 - Phone
- (970) 485-4958
- Fax
- (970) 242-4134
- NPI assigned
- Jun 26, 2017
- Last updated
- Aug 31, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 483 | CO | |
| Acupuncturist | 171100000X | ACU.0000483 | CO | Primary |
Addresses
Primary practice location
751 Horizon CT. Suite 202
Grand Junction, CO 81506-8718
Mailing address
PO Box 3163
Grand Junction, CO 81502-3163
Phone (970) 485-4958
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 |
|---|---|---|---|
| 483 | CO | MD | Mental Health Counselor |
| ACU.0000483 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Leaf Internal Medicine, P.C. | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Grand Junction, CO
- NPI 1629260237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1407376973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3163",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815023163",
"telephone_number": "970-485-4958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 HORIZON CT. SUITE 202",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068718",
"telephone_number": "970-485-4958",
"fax_number": "970-242-4134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDRA",
"first_name": "ANITA",
"credential": "L.A.C.- LICENSED ACU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "483",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "ACU.0000483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.