Active NPI
Miranda Lee, L.AC, CBP, LMT
- Acupuncturist
- Lakewood, CO
National Provider Identifier
1750870713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2224
- Practice address
- 7373 W Jefferson Ave Ste 402
Lakewood, CO 80235-2051 - Phone
- (720) 310-8525
- NPI assigned
- May 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4441 | CO | |
| Acupuncturist | 171100000X | 2224 | CO | Primary |
Addresses
Primary practice location
7373 W Jefferson Ave Ste 402
Lakewood, CO 80235-2051
Mailing address
2773 S Osceola Way
Denver, CO 80236-2247
Phone (720) 310-8525
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4441 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1750870713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2773 S OSCEOLA WAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802362247",
"telephone_number": "720-310-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 W JEFFERSON AVE STE 402",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352051",
"telephone_number": "720-310-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MIRANDA",
"credential": "L.AC, CBP, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-05",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "4441",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "2224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.