Stacey Donelson, DACM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1684 Issued in CO

Practice address

275 S Main St Ste 206
Longmont, CO 80501-6461

Phone

(303) 772-0598

NPI assigned

Aug 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Good Life Acupuncture & Wellness Center

  • Clinic/Center
  • Longmont, CO
  • NPI 1003245861
  NPD Authorized official

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1508290560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST STE 206",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016461",
            "telephone_number": "303-772-0598",
            "fax_number": "720-302-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST STE 206",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016461",
            "telephone_number": "303-772-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONELSON",
        "first_name": "STACEY",
        "credential": "DACM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Joseph Dobi, NP
• Shannon Docheff
• Olivia Dole
• Daniel Ryan Domocmat, RN
• David R. Donahue, D.O.
• Maura Ann Doran-Snyder, FNP-C
• Gerry Doran, PH.D.
• Nicole Doran
• Genevieve Nicole Dorn
• Judy Jodell Dorsett, PT

• Acupuncturist in Longmont, CO
• Providers in Longmont, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.