Amber Nicole Beahm Russell, L.AC, DIPL.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1710 Issued in CO

Practice address

431 Main St
Unit 2
Lyons, CO 80540

Phone

(720) 445-5966

NPI assigned

Sep 14, 2011

Last updated

Sep 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1811279060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MCCONNELL CT",
            "city": "LYONS",
            "state": "CO",
            "postal_code": "805403804",
            "telephone_number": "720-445-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MAIN ST",
            "address_2": "UNIT 2",
            "city": "LYONS",
            "state": "CO",
            "postal_code": "80540",
            "telephone_number": "720-445-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "AMBER",
        "middle_name": "NICOLE BEAHM",
        "name_prefix": "Mrs.",
        "credential": "L.AC, DIPL.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.