Kristie M Lavalley, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1293 Issued in CO

Practice address

190 N Grand Mesa Dr
Cedaredge, CO 81413-8388

Phone

(970) 856-4729

Fax

(970) 856-4734

NPI assigned

Nov 20, 2008

Last updated

Nov 20, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millennium Wellness, LLC

  • Health Service Clinic/Center
  • Cedaredge, CO
  • NPI 1083949358
  NPD (past) Authorized official

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1760637508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N GRAND MESA DR",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814138388",
            "telephone_number": "970-856-4729",
            "fax_number": "970-856-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N GRAND MESA DR",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814138388",
            "telephone_number": "970-856-4729",
            "fax_number": "970-856-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEY",
        "first_name": "KRISTIE",
        "middle_name": "M",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1293",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christin Dawn Hawbaker, L.AC.
• Timothy Parker Hawbaker, N.P., L.AC.
• Magdalena Evelyn Hunsaker, LMT
• Christian T Johnson, D.D.S.
• Kendra Kinney, LCSW
• Candi R. Lobenstein, NP
• Timothy C Meilner, MD
• Millennium Regenerative Medicine, Inc.
• Millennium Wellness, LLC
• Resa Moran

• Acupuncturist in Cedaredge, CO
• Providers in Cedaredge, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.