Individual provider Active NPI

Amy Marie Gebers, CST, CFA

  • Surgical Technologist
  • Fort Collins, CO
National Provider Identifier
1023211638
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
CFA-104768 Issued in CO
Practice address
5201 Madison Creek Dr
Fort Collins, CO 80528-8516
Phone
(970) 225-1664
NPI assigned
Jun 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X CFA-104768 CO Primary

Addresses

Primary practice location

5201 Madison Creek Dr
Fort Collins, CO 80528-8516

Mailing address

5201 Madison Creek Dr
Fort Collins, CO 80528-8516
Phone (970) 225-1664

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CFA-104768COMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023211638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 MADISON CREEK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288516",
            "telephone_number": "970-225-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 MADISON CREEK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288516",
            "telephone_number": "970-225-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBERS",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "CST, CFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "CO",
            "license": "CFA-104768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.