TARA FAITH BROCKMAN (NPI# 1144794660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144794660 |
| Entity Type | Individual |
| Full Name | TARA FAITH BROCKMAN |
| Credential | L.AC. |
| Practice Address |
1290 Yellow Pine Ave Boulder CO 80304-2264 |
| Practice Telephone | 3033593637 |
| Mailing Telephone | 3033593637 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 771 | CO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619380680 | Tara Brockman | Family Medicine | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2014-06-08 |
| Street Address |
1290 YELLOW PINE AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929636 | Michele Kaitlin Rodriguez | Acupuncturist | 2690 Valmont Rd Apt 2, Boulder, CO 80304-2951 | 2020-10-15 |
| 1528677168 | Layne Bronson | Acupuncturist | 2500 30th St Ste 205, Boulder, CO 80301-1236 | 2020-07-29 |
| 1396354304 | Steven G Wong | Acupuncturist | 3985 Wonderland Hill Ave # 100, Boulder, CO 80304-1038 | 2020-07-26 |
| 1023643228 | Casey Calkins | Acupuncturist | 948 North St Ste 6, Boulder, CO 80304-3385 | 2020-03-08 |
| 1285268367 | Candace Nicole Canerdy | Acupuncturist | 1170 Poplar Ave, Boulder, CO 80304-0767 | 2020-02-27 |
| 1407495914 | Rachel Mallie Nussbaum | Acupuncturist | 3405 Penrose Pl Ste 206, Boulder, CO 80301-1820 | 2019-12-31 |
| 1841847696 | Rachael Elrod-martinez | Acupuncturist | 2769 Iris Ave Ste 105, Boulder, CO 80304-4405 | 2019-08-26 |
| 1013579374 | Anum Sani Panhwar | Acupuncturist | 1650 38th St # E, Boulder, CO 80301-2623 | 2019-07-07 |
| 1841851128 | John Winternitz | Acupuncturist | 1800 30th St Ste 307, Boulder, CO 80301-1026 | 2019-06-26 |
| 1225538366 | Rita Frances Stanford | Acupuncturist | 2760 29th St Ste 1d, Boulder, CO 80301-1295 | 2018-02-15 |
| Find all providers in BOULDER | ||||
Please comment or provide details below to improve the information on TARA FAITH BROCKMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.