Active NPI
Susan Renee Phelps, L.AC.
- Acupuncturist
- Pueblo, CO
National Provider Identifier
1467720201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1597
- Practice address
- 2099 Highway 50 West
Suite 130 G
Pueblo, CO 81008 - Phone
- (719) 252-2524
- Fax
- (719) 992-0700
- NPI assigned
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1597 | CO | Primary |
Addresses
Primary practice location
2099 Highway 50 West
Suite 130 G
Pueblo, CO 81008
Mailing address
2099 Highway 50 West
Suite 130 G
Pueblo, CO 81008
Phone (719) 252-2524
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1597 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1467720201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2099 HIGHWAY 50 WEST",
"address_2": "SUITE 130 G",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81008",
"telephone_number": "719-252-2524",
"fax_number": "719-992-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2099 HIGHWAY 50 WEST",
"address_2": "SUITE 130 G",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81008",
"telephone_number": "719-252-2524",
"fax_number": "719-992-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "SUSAN",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "1597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.