Individual provider Active NPI

Colby Matthew Fauser, RN

  • Registered Nurse
  • Vail, CO
National Provider Identifier
1053044628
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1647395 Issued in CO
Practice address
1265 N. Frontage Rd. W.
3-102
Vail, CO 81657
Phone
(970) 274-2711
NPI assigned
Jul 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1647395 CO Primary

Addresses

Primary practice location

1265 N. Frontage Rd. W.
3-102
Vail, CO 81657

Mailing address

PO Box 1851
Vail, CO 81658-1851
Phone (970) 274-2711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cfau688@regiscollege.edu

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1647395COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1053044628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1851",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816581851",
            "telephone_number": "970-274-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 N. FRONTAGE RD. W.",
            "address_2": "3-102",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "81657",
            "telephone_number": "970-274-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSER",
        "first_name": "COLBY",
        "middle_name": "MATTHEW",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1647395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfau688@regiscollege.edu",
            "affiliation": "N",
            "address_1": "1 Black Diamond Trail",
            "city": "Crested Butte",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.