Individual provider Active NPI

Debra Kay Weise, ACUPUNCTURIST

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1689894875
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0002223 Issued in CO
Practice address
2500 30TH St Ste 201
Boulder, CO 80301-1238
Phone
(720) 470-9609
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 086630 MI
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X ACU.0002223 CO Primary

Addresses

Primary practice location

2500 30TH St Ste 201
Boulder, CO 80301-1238

Mailing address

PO Box 1261
74 Sundance Circle
Nederland, CO 80466-1261
Phone (303) 582-0309

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
ACU.0002223COMDAcupuncturist
086630MIMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1689894875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1261",
            "address_2": "74 SUNDANCE CIRCLE",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804661261",
            "telephone_number": "303-582-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 30TH ST STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011238",
            "telephone_number": "720-470-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISE",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "086630",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 15, 2021; 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.