Active NPI
Jamie R Aguilar, LMT
- Specialist
- Pueblo West, CO
National Provider Identifier
1073761144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 15280
- Practice address
- 55 N Silicon Dr
Pueblo West, CO 81007-4443 - Phone
- (719) 406-7831
- NPI assigned
- Sep 3, 2008
- Last updated
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15280 | CO | Primary |
Addresses
Primary practice location
55 N Silicon Dr
Pueblo West, CO 81007-4443
Mailing address
1516 Spruce St
Pueblo, CO 81004-3429
Phone (719) 406-7831
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 |
|---|---|---|---|
| 15280 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1073761144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 SPRUCE ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043429",
"telephone_number": "719-406-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 N SILICON DR",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810074443",
"telephone_number": "719-406-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "JAMIE",
"middle_name": "R",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "15280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo West, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.