Active NPI
Elevation Acupuncture & Herbs
- Medical Specialty Clinic/Center
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 1273
- Legal business name
- ELEVATION ACUPUNCTURE & HERBS
- Practice address
- 3101 Iris Ave
Suite 200
Boulder, CO 80301-1994 - Phone
- (303) 888-7895
- NPI assigned
- Mar 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melissa Vidaic, L.AC.
- Title
- Owner/Acupuncturist
- Phone
- (303) 888-7895
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 1273 | CO | Primary |
Addresses
Primary practice location
3101 Iris Ave
Suite 200
Boulder, CO 80301-1994
Mailing address
655 W Locust CT
Louisville, CO 80027-1018
Phone (303) 888-7895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871773150 | Other | CO | INDIVIDUAL NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Elevation Acupuncture Herbs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Service Clinic/Center
- Boulder, CO
- NPI 1912338070
Locations
3101 Iris Ave
Ste 200
Boulder, CO 80301
Phone (303) 443-1937
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Boulder, CO
- NPI 1871773150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300147200000",
"number": "1841599982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 W LOCUST CT",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271018",
"telephone_number": "303-888-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 IRIS AVE",
"address_2": "SUITE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011994",
"telephone_number": "303-888-7895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATION ACUPUNCTURE & HERBS",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-15",
"last_updated": "2011-03-15",
"status": "A",
"authorized_official_last_name": "VIDAIC",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
"authorized_official_telephone_number": "303-888-7895",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "L.AC."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CO",
"license": "1273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1871773150",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.