Active NPI
Alisa Wailan Wong, L.AC
- Acupuncturist
- Greeley, CO
National Provider Identifier
1689218463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU0002511
- Practice address
- 8201 W 20TH St
Greeley, CO 80634-4695 - Phone
- (970) 373-4475
- NPI assigned
- Nov 4, 2019
- 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 | ACU0002511 | CO | Primary |
Addresses
Primary practice location
8201 W 20TH St
Greeley, CO 80634-4695
Mailing address
3330 Borrossa St
Evans, CO 80634-8697
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 |
|---|---|---|---|
| ACU0002511 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Within Physical Therapy PC | Single Specialty | Current | Accepting new patients |
Locations
8201 W 20th St
Greeley, CO 80634
Phone (970) 355-0566
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": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1689218463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 BORROSSA ST",
"city": "EVANS",
"state": "CO",
"postal_code": "806348697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 W 20TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344695",
"telephone_number": "970-373-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ALISA",
"middle_name": "WAILAN",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CO",
"license": "ACU0002511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.