Individual provider Active NPI

Monica Edlauer, MSOM, LAC

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1508192527
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1467 Issued in CO
Practice address
2955 Valmont Rd Ste 100
Boulder, CO 80301-1360
Phone
(303) 859-7556
Fax
(303) 442-2816
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1467 CO Primary

Addresses

Primary practice location

2955 Valmont Rd Ste 100
Boulder, CO 80301-1360

Mailing address

2955 Valmont Rd Ste 100
Boulder, CO 80301-1360
Phone (303) 859-7556

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
1467COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Family Acupuncture LLC Acupuncturist Current Accepting new patients

Locations

2955 Valmont Rd
Ste 100
Boulder, CO 80301
Phone (303) 859-7556

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1508192527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 VALMONT RD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011360",
            "telephone_number": "303-859-7556",
            "fax_number": "303-442-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VALMONT RD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011360",
            "telephone_number": "303-859-7556",
            "fax_number": "303-442-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLAUER",
        "first_name": "MONICA",
        "credential": "MSOM, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.