Individual provider Active NPI

Jennifer Ann Tragash, L.AC

  • Acupuncturist
  • Lakewood, CO
National Provider Identifier
1821601154
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0002548 Issued in CO
Practice address
1280 Van Gordon St
Lakewood, CO 80401-4763
Phone
(954) 579-0297
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU.0002548 CO Primary

Addresses

Primary practice location

1280 Van Gordon St
Lakewood, CO 80401-4763

Mailing address

1280 Van Gordon St
Lakewood, CO 80401-4763
Phone (954) 579-0297

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mountainlotusacu.com Direct

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

LicenseStateTypeSpecialty
ACU.0002548COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1821601154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 VAN GORDON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804014763",
            "telephone_number": "954-579-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 VAN GORDON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804014763",
            "telephone_number": "954-579-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAGASH",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mountainlotusacu.com",
            "affiliation": "N",
            "endpointDescription": "Business Webpage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1280 Van Gordon St",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804014763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.