Individual provider Active NPI

Stephanie Trzaska, L.AC.

  • Acupuncturist
  • Northglenn, CO
National Provider Identifier
1679840318
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1732 Issued in CO
Practice address
11658 Huron St
Suite 200
Northglenn, CO 80234-2919
Phone
(303) 362-0596
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1732 CO Primary

Addresses

Primary practice location

11658 Huron St
Suite 200
Northglenn, CO 80234-2919

Mailing address

11658 Huron St
Suite 200
Northglenn, CO 80234-2919
Phone (303) 362-0596

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
1732COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1679840318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11658 HURON ST",
            "address_2": "SUITE 200",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342919",
            "telephone_number": "303-362-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11658 HURON ST",
            "address_2": "SUITE 200",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342919",
            "telephone_number": "303-362-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZASKA",
        "first_name": "STEPHANIE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.