Rocky Mountain Diabetes Solutions

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

NP5090 Issued in CO

Legal business name

ROCKY MOUNTAIN DIABETES SOLUTIONS

Practice address

109 Brookdale Ave.
Suite a
Buena Vista, CO 81211

Phone

(719) 207-6694

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Constance L Gable, FNP, ADM-BC, CDE

Title

Owner/Operator

Phone

(719) 207-6694

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1073890133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1874",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804611874",
            "telephone_number": "719-207-6694",
            "fax_number": "855-291-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BROOKDALE AVE.",
            "address_2": "SUITE A",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "81211",
            "telephone_number": "719-207-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN DIABETES SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "GABLE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "719-207-6694",
        "authorized_official_credential": "FNP, ADM-BC, CDE"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "NP5090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prosthetic & Orthotic Group Central Colorado LLC
• Katie Lynn Provorse
• Robert C. Provorse, D.D.S.
• Erin Kathleen Raterman, D.P.T
• Robert Ringwald
• Rxplus Limited, LLC (Buena Vista Drug)
• Rxplus Limited, LLC (Buena Vista Drug)
• Sacred Self Counseling, LLC
• Sacred Self Counseling, LLC
• Salida Hospital District (HRRMC Buena Vista Health Center)

• Medical Specialty Clinic/Center in Buena Vista, CO
• Providers in Buena Vista, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.