MRS. MELISSA ANN VIDAIC (NPI# 1871773150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871773150 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA ANN VIDAIC |
| Credential | L. AC., DIPL. OM |
| Practice Address |
3014 Bluff St Suite 201 Boulder CO 80301-2166 |
| Mailing Address |
655 W Locust Ct Louisville CO 80027-1018 |
| Practice Telephone | 3038887895 |
| Mailing Telephone | 3038887895 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2012-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 1273 | CO | Other Service Providers |
| Street Address |
3014 BLUFF ST SUITE 201 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013130830 | Mark E Graycar | Chiropractor | 3014 Bluff St, Suite 100, Boulder, CO 80301-2166 | 2007-04-10 |
| 1912338070 | Elevation Acupuncture & Herbs | Clinic/Center | 3014 Bluff St, Suite 201, Boulder, CO 80301-2166 | 2013-11-27 |
| 1043502537 | Todd M Ackerman | Massage Therapist | 3014 Bluff St, Suite 201, Boulder, CO 80301-2166 | 2011-05-03 |
| 1568632578 | Cathrine Skogheim Walle | Student in an Organized Health Care Education/Training Program | 3014 Bluff St, Suite #100, Boulder, CO 80301-2166 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| 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 |
| 1144794660 | Tara Faith Brockman | Acupuncturist | 1290 Yellow Pine Ave, Boulder, CO 80304-2264 | 2019-01-17 |
| Find all providers in BOULDER | ||||
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| 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.