Mark Andreis

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

180990 Issued in CO

Practice address

2271 Surrey LN
Canon City, CO 81212-2565

Phone

(719) 276-0638

NPI assigned

Dec 26, 2014

Last updated

Dec 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1114315207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 SURREY LN",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122565",
            "telephone_number": "719-276-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 SURREY LN",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122565",
            "telephone_number": "719-276-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREIS",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CO",
            "license": "180990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Medical Response of Colorado Inc (American Medical Response; AMR; MedTrans Ambulance)
• American Medical Response of Colorado Inc (American Medical Response; AMR; MedTrans Ambulance)
• Anchorpoint Counseling, LLC
• David W. Anderson
• Julie L Anderson, LPC
• Stacy Andrews, MA, LPC
• Timothy Arthur Andrews, OTR, CHT
• Anthony M Sullivan Psychological Services LLC
• Sherry Archibeque
• Argus Home Care Inc (Argus Home Care Canon City)

• Case Management Registered Nurse in Canon City, CO
• Providers in Canon City, CO by specialty
• Case Management Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.