Active NPI
Mehrnoush Nazmi, PA-C
- Physician Assistant
- Loveland, CO
National Provider Identifier
1003068867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2812
- Practice address
- 2500 Rocky Mountain Ave
Suite 100
Loveland, CO 80538-9004 - Phone
- (970) 624-1800
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0010-01516 | NC | |
| Physician Assistant | 363A00000X | 2812 | CO | Primary |
| Surgical Physician Assistant | 363AS0400X | 2812 | CO |
Addresses
Primary practice location
2500 Rocky Mountain Ave
Suite 100
Loveland, CO 80538-9004
Mailing address
2500 Rocky Mountain Ave
Suite 100
Loveland, CO 80538-9004
Phone (970) 624-1800
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2812 | CO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1003068867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 ROCKY MOUNTAIN AVE",
"address_2": "SUITE 100",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389004",
"telephone_number": "970-624-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ROCKY MOUNTAIN AVE",
"address_2": "SUITE 100",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389004",
"telephone_number": "970-624-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZMI",
"first_name": "MEHRNOUSH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": "0010-01516",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "2812",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "2812",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.