NPIMap

Organization Active NPI

Elevation Acupuncture & Herbs

  • Health Service Clinic/Center
  • Boulder, CO
National Provider Identifier
1912338070
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1273 Issued in CO
Legal business name
ELEVATION ACUPUNCTURE & HERBS
Practice address
3014 Bluff St
Suite 201
Boulder, CO 80301-2166
Phone
(303) 888-7895
NPI assigned
Nov 27, 2013
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Melissa Ann Vidaic, L. AC., DIPL. OMNPI 1871773150
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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 1273 CO Primary

Addresses

Primary practice location

3014 Bluff St
Suite 201
Boulder, CO 80301-2166

Mailing address

655 W Locust CT
Louisville, CO 80027-1018
Phone (303) 888-7895

National Provider Directory

National Provider Directory
Tax ID family
Elevation Acupuncture Herbs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1912338070",
    "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": "3014 BLUFF ST",
            "address_2": "SUITE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012166",
            "telephone_number": "303-888-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION ACUPUNCTURE & HERBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "VIDAIC",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "303-888-7895",
        "authorized_official_credential": "L. AC., DIPL. OM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "1273",
            "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 Nov 27, 2013; 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.