Individual provider Active NPI

Brooke Ashley Wells-Recchia, L.AC.

  • Acupuncturist
  • Fort Collins, CO
National Provider Identifier
1649047150
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0002812 Issued in CO
Practice address
1730 S College Ave Ste 301
Fort Collins, CO 80525-1073
Phone
(907) 658-5777
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0002812 CO Primary

Addresses

Primary practice location

1730 S College Ave Ste 301
Fort Collins, CO 80525-1073

Mailing address

1108 Country Acres Dr
Johnstown, CO 80534-8464

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
0002812COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1649047150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 COUNTRY ACRES DR",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805348464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S COLLEGE AVE STE 301",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251073",
            "telephone_number": "907-658-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS-RECCHIA",
        "first_name": "BROOKE",
        "middle_name": "ASHLEY",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.