Active NPI
Seana B Medina, L.A.C MS.TCM
- Acupuncturist
- Denver, CO
National Provider Identifier
1790033322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0001807
- Practice address
- 3545 S Tamarac Dr.
Ste #170
Denver, CO 80237 - Phone
- (303) 564-0505
- NPI assigned
- Aug 29, 2012
- 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 | 0001807 | CO | Primary |
Addresses
Primary practice location
3545 S Tamarac Dr.
Ste #170
Denver, CO 80237
Mailing address
1150 S. Cherry St.
1-304
Denver, CO 80246
Phone (303) 564-0505
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 |
|---|---|---|---|
| 0001807 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1790033322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S. CHERRY ST.",
"address_2": "1-304",
"city": "DENVER",
"state": "CO",
"postal_code": "80246",
"telephone_number": "303-564-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 S TAMARAC DR.",
"address_2": "STE #170",
"city": "DENVER",
"state": "CO",
"postal_code": "80237",
"telephone_number": "303-564-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "SEANA",
"middle_name": "B",
"name_prefix": "Miss",
"credential": "L.A.C MS.TCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "0001807",
"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 Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.