Organization Active NPI

Front Range Wellness Center

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1912281122
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
157 Issued in CO
Legal business name
FRONT RANGE WELLNESS CENTER
Practice address
2500 30TH St Ste 200
Boulder, CO 80301-1258
Phone
(303) 442-2545
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Mary Ellen Metke, M.AC.NPI 1346288487
Title
President
Phone
(303) 442-2545

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 157 CO Primary

Addresses

Primary practice location

2500 30TH St Ste 200
Boulder, CO 80301-1258

Mailing address

2500 30TH St Ste 200
Boulder, CO 80301-1258
Phone (303) 442-2545

National Provider Directory

National Provider Directory

Locations

2500 30th St
Ste 200
Boulder, CO 80301
Phone (303) 443-1710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1912281122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 30TH ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011258",
            "telephone_number": "303-442-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 30TH ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011258",
            "telephone_number": "303-442-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "METKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-442-2545",
        "authorized_official_credential": "M.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "157",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 6, 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.