Renew Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1314 Issued in CO

Legal business name

RENEW ACUPUNCTURE LLC

Practice address

8120 Sheridan Blvd Ste 205C
Westminster, CO 80003-6154

Phone

(970) 988-3087

NPI assigned

Nov 3, 2015

Last updated

Nov 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Suplee, LACNPI 1205063427

Title

Owner

Phone

(970) 988-3087

Specialties & licenses 1

Addresses

Tax ID family

Renew Acupuncture LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Holistic Clinic

  • Acupuncturist
  • Franklin, TN
  • NPI 1376089516
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Suplee, LAC

  • Acupuncturist
  • Boulder, CO
  • NPI 1205063427
  NPD (past) Authorized official

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1780057422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17062",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803080062",
            "telephone_number": "970-988-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 SHERIDAN BLVD STE 205C",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800036154",
            "telephone_number": "970-988-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "SUPLEE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-988-3087",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.