Cynthia Jean Wallis, DVM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

1906 Blake Ave
Glenwood Springs, CO 81601-4259

Phone

(970) 384-6953

NPI assigned

Mar 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1447835038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816230604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014259",
            "telephone_number": "970-384-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Village Rd Ste Ulc2",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "CO",
            "postal_code": "816232513",
            "country_code": "US",
            "telephone_number": "970-963-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "CYNTHIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DVM, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Vinger
• Megan Voss, PA-C
• Christa Lyn Wagner, CMT
• Walgreen Co (Walgreens #18163)
• Taylor Walker, MA, LPCC
• Walmart Inc. (Walmart Pharmacy 10-1095)
• Mary Elizabeth Walters
• Maura Caitlin Wamsley, BCBA
• Nicholas Joshua Watson, D.C.
• Leslie L Way, LPC

• Acupuncturist in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.