Elissa Diane Viarengo, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

305 Issued in CO

Practice address

2001 S Shields St Ste D204
Fort Collins, CO 80526-1888

Phone

(970) 484-8602

Fax

(970) 495-0139

NPI assigned

Apr 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elissa Viarengo Blesch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Frederick M. Blesch, DC PC

  • Chiropractor
  • Fort Collins, CO
  • NPI 1619180437
  NPD (past)

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1447475686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE D204",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261888",
            "telephone_number": "970-484-8602",
            "fax_number": "970-495-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE D204",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261888",
            "telephone_number": "970-484-8602",
            "fax_number": "970-495-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIARENGO",
        "first_name": "ELISSA",
        "middle_name": "DIANE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "BLESCH",
            "middle_name": "VIARENGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Acupuncturist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.