Organization Active NPI

Integrative Acupuncture Clinic

  • Acupuncturist
  • Fort Collins, CO
National Provider Identifier
1679091235
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0002174 Issued in CO
Legal business name
INTEGRATIVE ACUPUNCTURE CLINIC
Practice address
140 W Oak St Ste 110
Fort Collins, CO 80524-2895
Phone
(970) 493-0025
Fax
(970) 484-2088
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michelle Ann Hines, L-AC
Title
Owner, Acupuncturist
Phone
(970) 493-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 0002174 CO Primary

Addresses

Primary practice location

140 W Oak St Ste 110
Fort Collins, CO 80524-2895

Mailing address

140 W Oak St Ste 110
Fort Collins, CO 80524-2895
Phone (970) 493-0025

National Provider Directory

National Provider Directory

Locations

140 W Oak St
Ste 110
Fort Collins, CO 80524
Phone (970) 493-0025

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679091235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W OAK ST STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242895",
            "telephone_number": "970-493-0025",
            "fax_number": "970-484-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W OAK ST STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242895",
            "telephone_number": "970-493-0025",
            "fax_number": "970-484-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "970-493-0025",
        "authorized_official_credential": "L-AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002174",
            "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 Jul 21, 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.