Individual provider Active NPI

Diane K Cridennda, L.AC.

  • Acupuncturist
  • Colorado Springs, CO
National Provider Identifier
1659493161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
337 Issued in CO
Practice address
1422 N Hancock Ave
Suite 5 S
Colorado Springs, CO 80903-2641
Phone
(719) 520-5056
Fax
(719) 520-5222
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 337 CO Primary

Addresses

Primary practice location

1422 N Hancock Ave
Suite 5 S
Colorado Springs, CO 80903-2641

Mailing address

1422 N Hancock Ave
Suite 5 S
Colorado Springs, CO 80903-2641
Phone (719) 520-5056

Other identifiers 1

IdentifierTypeStateIssuer
337OtherCOCOLORADO STATE LICENCE

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
337COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Ronner Acupuncture, Inc Acupuncturist PastSince Sep 24, 2023 Accepting new patients

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659493161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 N HANCOCK AVE",
            "address_2": "SUITE 5 S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032641",
            "telephone_number": "719-520-5056",
            "fax_number": "719-520-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 N HANCOCK AVE",
            "address_2": "SUITE 5 S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032641",
            "telephone_number": "719-520-5056",
            "fax_number": "719-520-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIDENNDA",
        "first_name": "DIANE",
        "middle_name": "K",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENCE",
            "identifier": "337",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.