Individual provider Active NPI

Carly Verkuilen, LAC, DIPL. AC

  • Acupuncturist
  • Lone Tree, CO
National Provider Identifier
1457101586
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0002861 Issued in CO
Practice address
9227 E Lincoln Ave Ste 300
Lone Tree, CO 80124-5504
Phone
(313) 701-9504
NPI assigned
Mar 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0002861 CO Primary

Addresses

Primary practice location

9227 E Lincoln Ave Ste 300
Lone Tree, CO 80124-5504

Mailing address

9227 E Lincoln Ave Ste 300
Lone Tree, CO 80124-5504
Phone (303) 470-1995

Other names 1

  • Carly Verkuilen Professional name

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
0002861COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1457101586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 E LINCOLN AVE STE 300",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245504",
            "telephone_number": "303-470-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9227 E LINCOLN AVE STE 300",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245504",
            "telephone_number": "313-701-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERKUILEN",
        "first_name": "CARLY",
        "credential": "LAC, DIPL. AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "VERKUILEN",
            "credential": "LAC, DIPL. AC, MAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.