NPIMap

Organization Active NPI

Lifecycle Acupuncture

  • Health Maintenance Organization
  • Boulder, CO
National Provider Identifier
1710317227
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1761 Issued in CO
Legal business name
LIFECYCLE ACUPUNCTURE
Practice address
925 37TH St
Boulder, CO 80303-2141
Phone
(303) 656-0048
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Melissa Donna Eaton, LA.CNPI 1144570193
Title
Owner Acupuncturist
Phone
(303) 656-0048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1761 CO Primary

Addresses

Primary practice location

925 37TH St
Boulder, CO 80303-2141

Mailing address

925 37TH St
Boulder, CO 80303-2141
Phone (303) 656-0048

Other identifiers 1

IdentifierTypeStateIssuer
12471245OtherCOCAQH #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1710317227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 37TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032141",
            "telephone_number": "303-656-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 37TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032141",
            "telephone_number": "303-656-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECYCLE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DONNA",
        "authorized_official_title_or_position": "OWNER ACUPUNCTURIST",
        "authorized_official_telephone_number": "303-656-0048",
        "authorized_official_credential": "LA.C"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "1761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "12471245",
            "state": "CO"
        }
    ],
    "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 19, 2013; 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.