Organization Active NPI

Quantum Specialist Network

  • Family Medicine Physician
  • Lone Tree, CO
National Provider Identifier
1013649441
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
QUANTUM SPECIALIST NETWORK
Practice address
9777 S Yosemite St Ste 220
Lone Tree, CO 80124-3115
Phone
(720) 560-3083
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Carolyn Mellette, APNNPI 1235157850
Title
Coo
Phone
(720) 560-3083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9777 S Yosemite St Ste 220
Lone Tree, CO 80124-3115

Mailing address

9777 S Yosemite St Ste 220
Lone Tree, CO 80124-3115
Phone (720) 560-3083

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL @quantumhsg.com Direct

National Provider Directory

National Provider Directory

Locations

9777 S Yosemite St
Ste 220
Lone Tree, CO 80124
Phone (303) 699-7325

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1013649441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST STE 220",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243115",
            "telephone_number": "720-560-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST STE 220",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243115",
            "telephone_number": "720-560-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM SPECIALIST NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "MELLETTE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "720-560-3083",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@quantumhsg.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9777 S Yosemite St Ste 220",
            "city": "Lone Tree",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801243115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.