Active NPI
Creekside Skin Care, LLC.
- Nurse Practitioner
- Greenwood Village, CO
National Provider Identifier
1093131229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 45274
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.