Active NPI
Joan Irene Primozich, FNPC
- Nurse Practitioner
- Aurora, CO
National Provider Identifier
1033232541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10073
- Practice address
- 1400 S Potomac St Ste 190
Aurora, CO 80012-4514 - Phone
- (209) 790-8367
- Fax
- (303) 369-1919
- NPI assigned
- Apr 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP2010 | AZ | |
| Nurse Practitioner | 363L00000X | 10073 | CO | Primary |
Addresses
Primary practice location
1400 S Potomac St Ste 190
Aurora, CO 80012-4514
Mailing address
4900 S Monaco St
#210
Denver, CO 80237-3486
Phone (303) 226-6180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200750460A | Medicaid | KS | |
| 55832873 | Medicaid | CO |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10073 | CO | MD | Physical Therapist |
| AP2010 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Chiropractic & Wellness, L.L.C | 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 ChroniCare of Utah
- Family Medicine Physician
- Layton, UT
- NPI 1578685228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1033232541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S MONACO ST",
"address_2": "#210",
"city": "DENVER",
"state": "CO",
"postal_code": "802373486",
"telephone_number": "303-226-6180",
"fax_number": "720-870-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S POTOMAC ST STE 190",
"city": "AURORA",
"state": "CO",
"postal_code": "800124514",
"telephone_number": "209-790-8367",
"fax_number": "303-369-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMOZICH",
"first_name": "JOAN",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"credential": "FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP2010",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "10073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200750460A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55832873",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.