Restore Osteo of Colorado LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RESTORE OSTEO OF COLORADO LLC

Doing business as

Spruce Health Group

Practice address

1421 S Potomac St Ste 330
Aurora, CO 80012-4512

Phone

(303) 953-2920

Fax

(303) 997-5225

NPI assigned

Dec 28, 2020

Organization subpart

Yes

Parent organization

RESTORE OSTEO OF COLORADO LLCAs reported in NPPES

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

Authorized official

Name

Shawn Barrieau

Title

Ceo

Phone

(970) 729-2727

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Spruce Health Group Doing business as

Part of

Restore Osteo of Colorado LLC

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1144817982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST STE 330",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124512",
            "telephone_number": "303-953-2920",
            "fax_number": "303-997-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST STE 330",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124512",
            "telephone_number": "303-953-2920",
            "fax_number": "303-997-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE OSTEO OF COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE OSTEO OF COLORADO LLC",
        "enumeration_date": "2020-12-28",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BARRIEAU",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-729-2727"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000200410",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spruce Health Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spruce Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nichole Lynn Restivo, LCSW, LAC
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• Internal Medicine Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.