NPIMap

Organization Active NPI

Inspiration Field

  • Early Intervention Provider Agency
  • La Junta, CO
National Provider Identifier
1124483441
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
05023L Issued in CO
Legal business name
INSPIRATION FIELD
Practice address
612 Adams Ave
La Junta, CO 81050-2535
Phone
(719) 384-8741
Fax
(719) 384-4278
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Rosa Salo
Title
Cfo
Phone
(719) 384-8741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 05023L CO Primary

Addresses

Primary practice location

612 Adams Ave
La Junta, CO 81050-2535

Mailing address

612 Adams Ave
La Junta, CO 81050-2535
Phone (719) 384-8741

Other identifiers 3

IdentifierTypeStateIssuer
09140054MedicaidCO
09145871MedicaidCO
09147653MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Inspiration Field19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1124483441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ADAMS AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502535",
            "telephone_number": "719-384-8741",
            "fax_number": "719-384-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ADAMS AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502535",
            "telephone_number": "719-384-8741",
            "fax_number": "719-384-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRATION FIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "SALO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-384-8741"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CO",
            "license": "05023L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09140054",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09145871",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09147653",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.