Active NPI
Stacy Rae, L.AC.
- Acupuncturist
- Gunnison, CO
National Provider Identifier
1992028138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 843
- Practice address
- 320 N Main St
Gunnison, CO 81230-2404 - Phone
- (970) 209-8310
- Fax
- (970) 641-5364
- NPI assigned
- Mar 2, 2010
- 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 | 843 | CO | Primary |
Addresses
Primary practice location
320 N Main St
Gunnison, CO 81230-2404
Mailing address
235 Blackfoot TRL
Gunnison, CO 81230-9720
Phone (970) 209-8310
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 |
|---|---|---|---|
| 843 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1992028138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 BLACKFOOT TRL",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812309720",
"telephone_number": "970-209-8310",
"fax_number": "970-641-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N MAIN ST",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812302404",
"telephone_number": "970-209-8310",
"fax_number": "970-641-5364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAE",
"first_name": "STACY",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.