NPIMap

Organization Active NPI

Rabbits Foot Wellness Center

  • Contractor
  • Broomfield, CO
National Provider Identifier
1457613010
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
10094 Issued in CO
Legal business name
RABBITS FOOT WELLNESS CENTER
Practice address
12650 Yates St
Broomfield, CO 80020-5788
Phone
(720) 383-4065
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Ms. Lisa Jean Clayton, LMTNPI 1356607691
Title
President
Phone
(720) 203-1989

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
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X 10094 CO Primary

Addresses

Primary practice location

12650 Yates St
Broomfield, CO 80020-5788

Mailing address

12650 Yates St
Broomfield, CO 80020-5788
Phone (720) 383-4065

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.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1457613010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 YATES ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205788",
            "telephone_number": "720-383-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 YATES ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205788",
            "telephone_number": "720-383-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABBITS FOOT WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-203-1989",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "CO",
            "license": "10094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.