Active NPI
Petra Amlin Buchanan, L,AC
- Acupuncturist
- Telluride, CO
National Provider Identifier
1588839799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1101
- Practice address
- 35 Pilot Knob Lane
#704
Telluride, CO 81435 - Phone
- (970) 708-9677
- NPI assigned
- Apr 29, 2008
- Last updated
- Apr 29, 2008
- 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 | 1101 | CO | Primary |
Addresses
Primary practice location
35 Pilot Knob Lane
#704
Telluride, CO 81435
Mailing address
PO Box 2452
Telluride, CO 81435-2452
Phone (970) 708-9677
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 |
|---|---|---|---|
| 1101 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1588839799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2452",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "814352452",
"telephone_number": "970-708-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 PILOT KNOB LANE",
"address_2": "#704",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "81435",
"telephone_number": "970-708-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "PETRA",
"middle_name": "AMLIN",
"credential": "L,AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "1101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Telluride, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.