Individual provider Active NPI

Jacquelline Gollinge, LAC, DIPL OM

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1558005199
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0002750 Issued in CO
Practice address
2040 E 28TH Ave
Denver, CO 80205-4561
Phone
(720) 381-4165
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU.0002750 CO Primary

Addresses

Primary practice location

2040 E 28TH Ave
Denver, CO 80205-4561

Mailing address

12903 E Carolina Dr
Aurora, CO 80012-4326
Phone (631) 707-6583

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
ACU.0002750COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodies on Point Acupuncturist CurrentSince Apr 24, 2022 Accepting new patients

Locations

2040 E 28th Ave
Denver, CO 80205
Phone (303) 913-7764

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1558005199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 E CAROLINA DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124326",
            "telephone_number": "631-707-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E 28TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802054561",
            "telephone_number": "720-381-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLINGE",
        "first_name": "JACQUELLINE",
        "credential": "LAC, DIPL OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.