Active NPI
Marybeth Keigher Mac., ACUPUNCTURE M.AC.
- Acupuncturist
- Boulder, CO
National Provider Identifier
1669418653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 300
- Practice address
- 3166 8TH St
#1
Boulder, CO 80304-2516 - Phone
- (303) 440-5514
- Fax
- (303) 440-5514
- NPI assigned
- Jun 20, 2006
- 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 | 300 | CO | Primary |
Addresses
Primary practice location
3166 8TH St
#1
Boulder, CO 80304-2516
Mailing address
3166 8TH St
#1
Boulder, CO 80304-2516
Phone (303) 440-5514
Other names 1
- Mrs. Marybeth Fritter M.Ac
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 |
|---|---|---|---|
| 300 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669418653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3166 8TH ST",
"address_2": "#1",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042516",
"telephone_number": "303-440-5514",
"fax_number": "303-440-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3166 8TH ST",
"address_2": "#1",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042516",
"telephone_number": "303-440-5514",
"fax_number": "303-440-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIGHER MAC.",
"first_name": "MARYBETH",
"name_prefix": "Mrs.",
"credential": "ACUPUNCTURE M.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARYBETH",
"last_name": "FRITTER M.AC",
"prefix": "MRS.",
"credential": "ACUPUNCTURIST M.AC.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boulder, 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.