Active NPI
Children'S Urinary and Bowel Solutions Clinic and Consulting, LLC
- Pediatric Nurse Practitioner
- Castle Pines, CO
National Provider Identifier
1033724570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- Legal business name
- CHILDREN'S URINARY AND BOWEL SOLUTIONS CLINIC AND CONSULTING, LLC
- Practice address
- 7501 Village Square Dr Ste 207
Castle Pines, CO 80108-3708 - Phone
- (720) 955-4465
- NPI assigned
- Sep 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer N Mack, CPNP
- Title
- Owner
- Phone
- (720) 955-4465
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | Primary |
Addresses
Primary practice location
7501 Village Square Dr Ste 207
Castle Pines, CO 80108-3708
Mailing address
10799 W Alameda Ave. PO Box 260758
Lakewood, CO 80226
Phone (720) 955-4465
Other names 1
- CUBS Clinic
National Provider Directory
National Provider DirectoryLocations
10799 W Alameda Ave
Unit 260758
Lakewood, CO 80226
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": "1599782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599782400000",
"number": "1033724570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10799 W ALAMEDA AVE. PO BOX 260758",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "80226",
"telephone_number": "720-955-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 VILLAGE SQUARE DR STE 207",
"city": "CASTLE PINES",
"state": "CO",
"postal_code": "801083708",
"telephone_number": "720-955-4465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S URINARY AND BOWEL SOLUTIONS CLINIC AND CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-11",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A",
"authorized_official_last_name": "MACK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-955-4465",
"authorized_official_credential": "CPNP"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CUBS Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Castle Pines, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.