Sophia Bennett, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0002634 Issued in CO

Practice address

2975 Valmont Rd Ste 320
Boulder, CO 80301-1361

Phone

(720) 696-0511

NPI assigned

Dec 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1982291902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 VALMONT RD STE 320",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 VALMONT RD STE 320",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011361",
            "telephone_number": "720-696-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SOPHIA",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pointprescription@gmail.com",
            "affiliation": "N",
            "address_1": "2975 Valmont Rd Ste 320",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803011361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Cristopher Benner
• Chad M Bennett, LPC
• Gerald Webb Bennett, LCSW
• James Bennett
• Kristie M Bennett, PT
• Steven Busiek Bennett, PH.D., LPC
• Traci L Bennett, LMT
• Kristina Marie Benson, LPCC
• Susan Lee Benson, DNP, FNP, PMH-CNS
• Ruth Ann Bentley, FNP-C

• Acupuncturist in Boulder, CO
• Providers in Boulder, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.