Individual provider Active NPI

Rachael Elrod-Martinez, LAC

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1841847696
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0002359 Issued in CO
Practice address
2769 Iris Ave Ste 105
Boulder, CO 80304-4405
Phone
(720) 829-3632
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 002359 CO
Acupuncturist 171100000X 2359 CO
Acupuncturist 171100000X 0002359 CO Primary

Addresses

Primary practice location

2769 Iris Ave Ste 105
Boulder, CO 80304-4405

Mailing address

2769 Iris Ave Ste 105
Boulder, CO 80304-4405
Phone (720) 829-3632

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Unifiedpractice.com

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
2359COMDOptometrist
002359COMDAcupuncturist
0002359COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1841847696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 IRIS AVE STE 105",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044405",
            "telephone_number": "720-829-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 IRIS AVE STE 105",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044405",
            "telephone_number": "720-829-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELROD-MARTINEZ",
        "first_name": "RACHAEL",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "002359",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "2359",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Unifiedpractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "2769 Iris Ave Ste 105",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803044405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 26, 2019; 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.