Active NPI
Charles H. Burnell, A.P.
- Acupuncturist
- Lafayette, CO
National Provider Identifier
1497871446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP1491
- Practice address
- 1302 Ceres Dr
Lafayette, CO 80026-1230 - Phone
- (352) 359-6159
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- 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 | AP1491 | FL | Primary |
Addresses
Primary practice location
1302 Ceres Dr
Lafayette, CO 80026-1230
Mailing address
1302 Ceres Dr
Lafayette, CO 80026-1230
Phone (352) 359-6159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO745 | Other | FL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| AP1491 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1497871446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 CERES DR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800261230",
"telephone_number": "352-359-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 CERES DR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800261230",
"telephone_number": "352-359-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNELL",
"first_name": "CHARLES",
"middle_name": "H.",
"name_prefix": "Mr.",
"credential": "A.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP1491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "CO745",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.