Stellar Genesis Professional LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

STELLAR GENESIS PROFESSIONAL LLC

Doing business as

Stellar Genesis Professional LLC

Practice address

2806 North Speek Blvd
Denver, CO 80211

Phone

(303) 582-4657

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Yuko Blue, FNPNPI 1114390945

Title

Owner

Phone

(303) 582-4657

Specialties & licenses 1

Addresses

Other names 1

• STELLAR GENESIS PROFESSIONAL LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Yuko Blue, FNP

  • Family Nurse Practitioner
  • Denver, CO
  • NPI 1114390945
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1023852720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S BRYANT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195524",
            "telephone_number": "303-582-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 NORTH SPEEK BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80211",
            "telephone_number": "303-582-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR GENESIS PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-14",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "YUKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-582-4657",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STELLAR GENESIS PROFESSIONAL LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STELLAR GENESIS PROFESSIONAL LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc Alan Steinmetz, M.D., M.P.H.
• Rachael Nicole Steinmetz
• Alexandria Steinsultz, RBT
• Joanne Louise Steinwachs, MSW
• Sarah Anne Stella, MD
• Lisa Renee Steller, LPC
• Kevin Patrick Stellish, PHARMD
• Leo Stelzer Jr., M.D.
• Thomas J Stelzner, MD
• Stem Management LLC

• Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.