Individual provider Active NPI

Sonya Jennifer Thacker, L.AC

  • Acupuncturist
  • Aurora, CO
National Provider Identifier
1710471180
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0001988 Issued in CO
Practice address
13731 E Rice PL Ste 101
Aurora, CO 80015-1076
Phone
(720) 288-7625
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU.0001988 CO Primary

Addresses

Primary practice location

13731 E Rice PL Ste 101
Aurora, CO 80015-1076

Mailing address

2361 S Flanders St
Aurora, CO 80013-9456
Phone (720) 288-7625

Other names 1

  • Sonja Thacker Other name

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.0001988COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvenating Health and Wellness LLC Acupuncturist CurrentSince Jun 26, 2022 Accepting new patients

Locations

13731 E Rice Pl
Ste 101
Aurora, CO 80015
Phone (720) 288-7625

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1710471180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 S FLANDERS ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800139456",
            "telephone_number": "720-288-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 E RICE PL STE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151076",
            "telephone_number": "720-288-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "SONYA",
        "middle_name": "JENNIFER",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0001988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONJA",
            "last_name": "THACKER",
            "credential": "L.AC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.