Children's Urinary and Bowel Solutions Clinic and Consulting, LLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

CHILDREN'S URINARY AND BOWEL SOLUTIONS CLINIC AND CONSULTING, LLC

Doing business as

CUBS Clinic

Practice address

7501 Village Square Dr Ste 207
Castle Pines, CO 80108-3708

Phone

(720) 955-4465

NPI assigned

Sep 11, 2020

Last updated

Sep 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer N Mack, CPNPNPI 1003368150

Title

Owner

Phone

(720) 955-4465

Specialties & licenses 1

Addresses

Other names 1

• CUBS Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Mack

  • Pediatric Nurse Practitioner
  • Albuquerque, NM
  • NPI 1003368150

  Pediatrics

  NPD Authorized official

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"
        }
    ]
}

• Castle Pines Pediatrics, PLLC (Castle Pines Pediatrics)
• Castle Pines Speech and Language LLC
• Castle Pines Urgent Care, LLC
• Castle Pines, Dental Professional, LLC (Castle Pines Dental Group)
• Wei-Ling Wu Chang, D.D.S.
• Heidi K Christensen, M.D.
• Mark Dean Christensen, MD
• Jason Chechen Chu, M.D.
• Cynthia S Classen, DPM
• Daniel Zay Clymer, DPM

• Pediatric Nurse Practitioner in Castle Pines, CO
• Providers in Castle Pines, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• 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.

Verify at the official NPI Registry.