Snowshoe Trail Enterprises, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SNOWSHOE TRAIL ENTERPRISES, LLC

Practice address

32214 Ellingwood TRL Ste 103
Evergreen, CO 80439-9719

Phone

(303) 670-0098

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Michele Stafford

Title

Owner

Phone

(303) 670-0098

Specialties & licenses 1

Addresses

Other names 1

• Migun Evergreen Doing business as

Locations

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1043400765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32214 ELLINGWOOD TRL STE 103",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399719",
            "telephone_number": "303-670-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32214 ELLINGWOOD TRL STE 103",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399719",
            "telephone_number": "303-670-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOWSHOE TRAIL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-670-0098"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Migun Evergreen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Marie Smith, PA-C
• Lisa Fudge Smith, LAC
• Mary Page Smith, CNM, OB-GYN NP
• Susan Diane Smith, PT, NCMT
• Ashley N. Snider
• William John Somerset, DO
• Jeffrey S Sorensen, MD
• Joseph Michael Sparacino, D.D.S.
• Neil Speer, O.D.
• Spero Behavioral Health LLC

• Durable Medical Equipment & Medical Supplies in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.