Active NPI
Eve Marie Kocurek, L.AC.,L.CH.,D.O.M.
- Acupuncturist
- Golden, CO
National Provider Identifier
1477708170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 736
- Practice address
- 4303 Ulysses Way
Golden, CO 80403-1918 - Phone
- (720) 394-4105
- NPI assigned
- Nov 21, 2008
- Last updated
- Jun 3, 2020
- 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 | 736 | CO | Primary |
Addresses
Primary practice location
4303 Ulysses Way
Golden, CO 80403-1918
Mailing address
4303 Ulysses Way
Golden, CO 80403-1918
Phone (720) 394-4105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477708170 | Other | CO | TIVITY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | evekocurek@gmail.com |
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 |
|---|---|---|---|
| 736 | CO | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1477708170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4303 ULYSSES WAY",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804031918",
"telephone_number": "720-394-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 ULYSSES WAY",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804031918",
"telephone_number": "720-394-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCUREK",
"first_name": "EVE",
"middle_name": "MARIE",
"credential": "L.AC.,L.CH.,D.O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TIVITY",
"identifier": "1477708170",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "evekocurek@gmail.com",
"affiliation": "N",
"address_1": "4303 Ulysses Way",
"city": "Golden",
"state": "CO",
"country_code": "US",
"postal_code": "804031918",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.