Active NPI
Mobile Health Technology With Solutions
- Nuclear Medicine Physician
- Denver, CO
National Provider Identifier
1114502937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- Legal business name
- MOBILE HEALTH TECHNOLOGY WITH SOLUTIONS
- Doing business as
- Mobile Health Technology with Solutions
- Practice address
- 12150 Andrews Dr
Denver, CO 80239-4441 - Phone
- (720) 449-6616
- Fax
- (720) 792-3458
- NPI assigned
- Mar 12, 2021
- Last updated
- Apr 23, 2021
- 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
- Suzan L Perreault
- Title
- Principal
- Phone
- (720) 449-6166
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Nuclear Medicine Physician | 207U00000X | Primary | ||
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| Podiatrist | 213E00000X | |||
| Audiologist | 231H00000X |
Addresses
Primary practice location
12150 Andrews Dr
Denver, CO 80239-4441
Mailing address
PO Box 2621
Monument, CO 80132-2621
Phone (720) 449-6616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36 | Medicaid | CO |
Other names 1
- Mobile Health Technology with Solutions
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Denver |
National Provider Directory
National Provider Directory- Tax ID family
- Mobile Health Technology With Solutions
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Clinical Nurse Specialist
- Denver, CO
- NPI 1144802257
-
- Nurse Practitioner
- Denver, CO
- NPI 1306427547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619136000000",
"number": "1114502937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2621",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801322621",
"telephone_number": "720-449-6616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12150 ANDREWS DR",
"city": "DENVER",
"state": "CO",
"postal_code": "802394441",
"telephone_number": "720-449-6616",
"fax_number": "720-792-3458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE HEALTH TECHNOLOGY WITH SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-12",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A",
"authorized_official_last_name": "PERREAULT",
"authorized_official_first_name": "SUZAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "720-449-6166"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Denver",
"affiliation": "N",
"address_1": "12150 Andrews Dr",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802394441",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Mobile Health Technology with Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
- Natasha Moayedi
- Rhonda Moberg, RN
- Bailey Moberly, PA-C
- Mobile Anesthesia Services LLC
- Mobile Care LLC
- Mobile Health Technology With Solutions
- Mobile Health Technology With Solutions
- Mobile Health Technology With Solutions
- Mobile Wound RX LLC (Wound Rx)
- Mobility Services of Colorado, Inc. (101 Mobility)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.