Organization Active NPI

Misa

  • Specialist
  • Denver, CO
National Provider Identifier
1114131968
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MISA
Practice address
8206 E 28TH Dr
Denver, CO 80238-2516
Phone
(303) 249-3099
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Ms. Christina Sevilla, MA, OTRNPI 1972722981
Title
President
Phone
(303) 249-3099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

8206 E 28TH Dr
Denver, CO 80238-2516

Mailing address

8206 E 28TH Dr
Denver, CO 80238-2516

Other identifiers 1

IdentifierTypeStateIssuer
65476727MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1114131968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 E 28TH DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 E 28TH DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382516",
            "telephone_number": "303-249-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "SEVILLA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-249-3099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, OTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65476727",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.