NPIMap

Organization Active NPI

Mobile Health Technology With Solutions

  • Home Health Clinical Nurse Specialist
  • Denver, CO
National Provider Identifier
1144802257
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
Legal business name
MOBILE HEALTH TECHNOLOGY WITH SOLUTIONS
Practice address
12150 Andrews Dr
Denver, CO 80239-4441
Phone
(720) 449-6616
Fax
(720) 792-3458
NPI assigned
Apr 27, 2021
Organization subpart
Yes
Parent organization
MOBILE HEALTH TECHNOLOGY WITH SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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) 449-6616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Home Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SH0200X Primary

Addresses

Primary practice location

12150 Andrews Dr
Denver, CO 80239-4441

Mailing address

PO Box 2621
Monument, CO 80132-2621
Phone (720) 449-6616

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Denver Direct
CONNECT URL Denver Direct

National Provider Directory

National Provider Directory
Tax ID family
Mobile Health Technology With Solutions3 organizations share this tax ID, including this one
Part of
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.

Locations

12150 Andrews Dr
Denver, CO 80239
Phone (720) 319-4459

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1144802257",
    "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",
            "fax_number": "720-792-3458"
        },
        {
            "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": "YES",
        "parent_organization_legal_business_name": "MOBILE HEALTH TECHNOLOGY WITH SOLUTIONS",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "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": "720-449-6616"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Denver",
            "affiliation": "N",
            "endpointDescription": "oaal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12150 Andrews Dr",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802394441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Denver",
            "affiliation": "N",
            "endpointDescription": "denver",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12150 Andrews Dr",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802394441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 27, 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.

Verify at the official NPI Registry.