Advanced Practice Headache and Primary Care Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ADVANCED PRACTICE HEADACHE AND PRIMARY CARE CLINIC

Practice address

1128 Eagleridge Blvd
Pueblo, CO 81008

Phone

(719) 778-1414

Fax

(719) 674-1000

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

Zsuzsa Glasscock, FNPNPI 1083939474

Title

Business Owner

Phone

(719) 778-1414

Specialties & licenses 1

Addresses

Other names 1

• Zsuzsa Glasscock Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20268/brand/1/csg/1/fhir/r4

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zsuzsa Glasscock, FNP

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1083939474
  Medicare reassignment NPD Authorized official
• Michaele Rene' Sage, RN

  • Family Nurse Practitioner
  • Parker, CO
  • NPI 1275313348
  Medicare reassignment NPD
• Stacey Kay Molinar, FNP-BC

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1821338211
  NPD
• Wayne Leslie Carter, D.C.

  • Chiropractor
  • Pueblo, CO
  • NPI 1235215591
  NPD (past)
• Shawn A. Koury, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
  • NPI 1306263181

  Family

  NPD (past)
• Joseph G Spinuzzi, D.C.

  • Chiropractor
  • Pueblo, CO
  • NPI 1467535625
  NPD (past)
• Scott Douglas Rogers, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1053981647
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1013490259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082103",
            "telephone_number": "719-778-1414",
            "fax_number": "719-674-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-778-1414",
            "fax_number": "719-674-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRACTICE HEADACHE AND PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "GLASSCOCK",
        "authorized_official_first_name": "ZSUZSA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "719-778-1414",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zsuzsa Glasscock",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zsuzsa Glasscock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.