Individual provider Active NPI

Jessica Leigh Tullius, L.AC., M.AC.O.M.

  • Acupuncturist
  • Gunnison, CO
National Provider Identifier
1710282371
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1233 Issued in CO
Practice address
144 N Main St
Suite D
Gunnison, CO 81230-2365
Phone
(970) 641-6095
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 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 1233 CO Primary

Addresses

Primary practice location

144 N Main St
Suite D
Gunnison, CO 81230-2365

Mailing address

144 N Main St
Suite D
Gunnison, CO 81230-2365
Phone (970) 641-6095

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
1233COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1710282371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 N MAIN ST",
            "address_2": "SUITE D",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302365",
            "telephone_number": "970-641-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N MAIN ST",
            "address_2": "SUITE D",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302365",
            "telephone_number": "970-641-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLIUS",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "L.AC., M.AC.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.