Organization Active NPI

Wild Blue Healthcare LLC

  • Acupuncturist
  • Lafayette, CO
National Provider Identifier
1447756150
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0002367 Issued in CO
Legal business name
WILD BLUE HEALTHCARE LLC
Practice address
401 E Cleveland St Ste C
Lafayette, CO 80026-2399
Phone
(720) 299-3829
NPI assigned
Apr 2, 2018
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Erin Elizabeth Meyers, L.AC.NPI 1982100681
Title
Owner
Phone
(720) 299-3829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU.0002367 CO Primary

Addresses

Primary practice location

401 E Cleveland St Ste C
Lafayette, CO 80026-2399

Mailing address

810 Harrison Dr
Lafayette, CO 80026-1815
Phone (303) 641-7123

Other practice location 1

1230 Etna Dr
Lafayette, CO 80026-8002
Phone (720) 299-3829

Other practice location 2

1140 W South Boulder Rd Ste 101
Lafayette, CO 80026-8910
Phone (720) 299-3829

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1447756150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HARRISON DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261815",
            "telephone_number": "303-641-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CLEVELAND ST STE C",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262399",
            "telephone_number": "720-299-3829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Etna Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800268002",
            "country_code": "US",
            "telephone_number": "720-299-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1140 W South Boulder Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800268910",
            "country_code": "US",
            "telephone_number": "720-299-3829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILD BLUE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-299-3829",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

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