Ollin Health LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

OLLIN HEALTH LLC

Practice address

2890 W 92ND Ave
Federal Heights, CO 80260-5811

Phone

(720) 604-1243

NPI assigned

Jul 19, 2023

Organization subpart

No

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

Authorized official

Name

Jacqueline Carbone, NPNPI 1386194942

Title

Owner

Phone

(303) 507-3252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Carbone, AGACNP

  • Nurse Practitioner
  • Federal Heights, CO
  • NPI 1386194942
  Medicare reassignment Care Compare group NPD Authorized official
• Marisa Jean Terry, MD

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
  • NPI 1114210085

  CO

  Medicare reassignment Care Compare group NPD
• Michael P. McGurren

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1548248883
  Medicare reassignment NPD

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1073293668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E CLEVELAND ST",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262308",
            "telephone_number": "720-604-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 W 92ND AVE",
            "city": "FEDERAL HEIGHTS",
            "state": "CO",
            "postal_code": "802605811",
            "telephone_number": "720-604-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLLIN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-507-3252",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley A. Navarre
• Ann Nguyen
• Dung Nguyen, RPH
• My-Phuong Thi Nguyen, PHARMD
• Ruben Mathew Nolasco
• Iyobosa Osa-Edoh
• Ruth Perry
• Austin Phan, PHARMD
• Philip Platt, LAC, LPCC
• Rekindle Relationship Counseling PLLC

• Pain Medicine Physician in Federal Heights, CO
• Providers in Federal Heights, CO by specialty
• Pain Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.