Individual provider Active NPI

Kaci Lee Coffee, LAC

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1407971526
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1491 Issued in CO
Practice address
6300 E Hampden Ave
Apt. 3429
Denver, CO 80222-7678
Phone
(818) 800-1604
NPI assigned
Mar 20, 2007
Last updated
May 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X CA11579 CA
Acupuncturist 171100000X 1491 CO Primary

Addresses

Primary practice location

6300 E Hampden Ave
Apt. 3429
Denver, CO 80222-7678

Mailing address

6300 E Hampden Ave
Apt. 3429
Denver, CO 80222-7678
Phone (818) 800-1604

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
CA11579CAMDAcupuncturist
1491COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1407971526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E HAMPDEN AVE",
            "address_2": "APT. 3429",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227678",
            "telephone_number": "818-800-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 E HAMPDEN AVE",
            "address_2": "APT. 3429",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227678",
            "telephone_number": "818-800-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEE",
        "first_name": "KACI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA11579",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.