Active NPI
Front Range Wellness Center
- Acupuncturist
- Boulder, CO
National Provider Identifier
1912281122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 157
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Ellen Metke, M.AC.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.
-
- Acupuncturist
- Boulder, CO
- NPI 1346288487
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.