Active NPI
Andrea Salvo
- Community/Behavioral Health Agency
- Broomfield, CO
National Provider Identifier
1164068854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0015805
- Practice address
- 18 Garden Ctr
Broomfield, CO 80020-1730 - Phone
- (303) 917-2208
- NPI assigned
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0015805 | CO | Primary |
Addresses
Primary practice location
18 Garden Ctr
Broomfield, CO 80020-1730
Mailing address
1813 W 131St Dr
Westminster, CO 80234-3781
Phone (303) 917-2208
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WESTMINSTER | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015805 | CO | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1164068854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 W 131ST DR",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802343781",
"telephone_number": "303-917-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 GARDEN CTR",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201730",
"telephone_number": "303-917-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALVO",
"first_name": "ANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "0015805",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WESTMINSTER",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "WESTMINSTER",
"address_1": "18 Garden Ctr",
"city": "Broomfield",
"state": "CO",
"country_code": "US",
"postal_code": "800201730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.