Organization Active NPI

Creekside Skin Care, LLC.

  • Nurse Practitioner
  • Greenwood Village, CO
National Provider Identifier
1093131229
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45274 Issued in CO
Legal business name
CREEKSIDE SKIN CARE, LLC.
Practice address
8000 E Prentice Ave
Suite D-10
Greenwood Village, CO 80111-2744
Phone
(303) 823-3376
Fax
(303) 683-3306
NPI assigned
Mar 12, 2014
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Margaret E Vernon, NP
Title
Owner
Phone
(303) 823-3376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 45274 CO Primary

Addresses

Primary practice location

8000 E Prentice Ave
Suite D-10
Greenwood Village, CO 80111-2744

Mailing address

8000 E Prentice Ave
Suite D-10
Greenwood Village, CO 80111-2744
Phone (303) 823-3376

National Provider Directory

National Provider Directory

Locations

8000 E Prentice Ave
Ste D10
Greenwood Village, CO 80111
Phone (303) 755-0120

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1093131229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 E PRENTICE AVE",
            "address_2": "SUITE D-10",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112744",
            "telephone_number": "303-823-3376",
            "fax_number": "303-683-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E PRENTICE AVE",
            "address_2": "SUITE D-10",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112744",
            "telephone_number": "303-823-3376",
            "fax_number": "303-683-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE SKIN CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-823-3376",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "45274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.