Active NPI
Meagan Boudreaux-Nunnelly, L.AC, M.S.O.M
- Acupuncturist
- Centennial, CO
National Provider Identifier
1851426704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1072
- Practice address
- 6970 S Holly Cir Ste 204
Centennial, CO 80112-1066 - Phone
- (303) 931-9297
- NPI assigned
- Feb 22, 2007
- Last updated
- Jan 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 1072 | CO | Primary |
Addresses
Primary practice location
6970 S Holly Cir Ste 204
Centennial, CO 80112-1066
Mailing address
7661 S Rosemary Cir
Centennial, CO 80112-6421
Phone (303) 931-9297
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | health@303acupuncture.com | Health Information Exchange (HIE) | |
| SOAP URL | health@303acupuncture.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 1072 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 303 Acupuncture and Wellness, LLC | Acupuncturist | Current | Accepting new patients |
Locations
6970 S Holly Cir
Ste 204
Centennial, CO 80112
Phone (303) 931-9297
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1851426704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7661 S ROSEMARY CIR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801126421",
"telephone_number": "303-931-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6970 S HOLLY CIR STE 204",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121066",
"telephone_number": "303-931-9297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUDREAUX-NUNNELLY",
"first_name": "MEAGAN",
"credential": "L.AC, M.S.O.M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "1072",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "health@303acupuncture.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "business email",
"address_1": "6970 S Holly Cir Ste 204",
"city": "Centennial",
"state": "CO",
"country_code": "US",
"postal_code": "801121066",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "health@303acupuncture.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "business email",
"address_1": "6970 S Holly Cir Ste 204",
"city": "Centennial",
"state": "CO",
"country_code": "US",
"postal_code": "801121066",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.