Active NPI
Courtney Leigh Galvan, ATC
- Athletic Trainer
- Denver, CO
National Provider Identifier
1073059986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.0001558
- Practice address
- 6900 E 47TH Avenue Dr Ste 150
Denver, CO 80216-3401 - Phone
- (303) 920-1200
- Fax
- (303) 920-1281
- NPI assigned
- Jan 16, 2017
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AT.0001558 | CO | |
| Athletic Trainer | 2255A2300X | AT.0001558 | CO | Primary |
Addresses
Primary practice location
6900 E 47TH Avenue Dr Ste 150
Denver, CO 80216-3401
Mailing address
16674 E Louisiana Dr
Aurora, CO 80017-4108
Phone (720) 220-9919
Other practice location 1
15655 Brookstone Dr
Parker, CO 80134-3553
Phone (303) 387-3715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Other | CO | ATHLETIC TRAINER |
Other names 1
- Courtney Leigh Castillo
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT.0001558 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073059986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16674 E LOUISIANA DR",
"city": "AURORA",
"state": "CO",
"postal_code": "800174108",
"telephone_number": "720-220-9919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 E 47TH AVENUE DR STE 150",
"city": "DENVER",
"state": "CO",
"postal_code": "802163401",
"telephone_number": "303-920-1200",
"fax_number": "303-920-1281"
}
],
"practiceLocations": [
{
"address_1": "15655 Brookstone Dr",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801343553",
"country_code": "US",
"telephone_number": "303-387-3715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALVAN",
"first_name": "COURTNEY",
"middle_name": "LEIGH",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "AT.0001558",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "AT.0001558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER",
"identifier": "22",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "CASTILLO",
"middle_name": "LEIGH",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.