Active NPI
Lacey Medearis, L.AC.
- Acupuncturist
- Denver, CO
National Provider Identifier
1780103812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0002235
- Practice address
- 7488 E 29TH Ave
Denver, CO 80238-2702 - Phone
- (720) 437-0435
- NPI assigned
- Sep 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0002235 | CO | Primary |
Addresses
Primary practice location
7488 E 29TH Ave
Denver, CO 80238-2702
Mailing address
10556 Olathe St
Commerce City, CO 80022-0520
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 |
|---|---|---|---|
| 0002235 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504915200000",
"number": "1780103812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10556 OLATHE ST",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800220520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7488 E 29TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802382702",
"telephone_number": "720-437-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEARIS",
"first_name": "LACEY",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-09",
"last_updated": "2017-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "0002235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.