Individual provider Active NPI

Ava Marie Amescua, LMT, LAC.

  • Acupuncturist
  • Aurora, CO
National Provider Identifier
1740515550
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0002044 Issued in CO
Practice address
1859 S Flanders Way
Aurora, CO 80017-4631
Phone
(720) 291-3102
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU.0002044 CO Primary
Acupuncturist 171100000X MT.0013169 CO

Addresses

Primary practice location

1859 S Flanders Way
Aurora, CO 80017-4631

Mailing address

1859 S Flanders Way
Aurora, CO 80017-4631
Phone (720) 291-3102

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.0002044COMDAcupuncturist
MT.0013169COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1740515550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 S FLANDERS WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174631",
            "telephone_number": "720-291-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 S FLANDERS WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174631",
            "telephone_number": "720-291-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMESCUA",
        "first_name": "AVA",
        "middle_name": "MARIE",
        "credential": "LMT, LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002044",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "MT.0013169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 2014; 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.